Healthcare Provider Details

I. General information

NPI: 1174256853
Provider Name (Legal Business Name): TORRIE WEINDORF
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2022
Last Update Date: 07/08/2022
Certification Date: 07/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1725 N UNIVERSITY DR STE 350
CORAL SPRINGS FL
33071-6000
US

IV. Provider business mailing address

3474 SW RIVERA ST
PORT SAINT LUCIE FL
34953-3717
US

V. Phone/Fax

Practice location:
  • Phone: 954-227-2700
  • Fax:
Mailing address:
  • Phone: 561-222-4178
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: