Healthcare Provider Details

I. General information

NPI: 1225972755
Provider Name (Legal Business Name): VIVIAN TORRES PSY. D., LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/15/2026
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15325 NW 60TH AVE STE 105
MIAMI LAKES FL
33014-2470
US

IV. Provider business mailing address

15325 NW 60TH AVE STE 105
MIAMI LAKES FL
33014-2470
US

V. Phone/Fax

Practice location:
  • Phone: 305-512-5388
  • Fax: 305-512-5390
Mailing address:
  • Phone: 305-512-5388
  • Fax: 305-512-5390

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH9845
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: