Healthcare Provider Details

I. General information

NPI: 1356159727
Provider Name (Legal Business Name): NADIA TORRES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/18/2024
Last Update Date: 12/18/2024
Certification Date: 12/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18901 SW 106TH AVE STE 224
CUTLER BAY FL
33157-7665
US

IV. Provider business mailing address

24444 SW 118TH CT
HOMESTEAD FL
33032-3416
US

V. Phone/Fax

Practice location:
  • Phone: 786-732-0071
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number26510
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: