Healthcare Provider Details

I. General information

NPI: 1811856370
Provider Name (Legal Business Name): ROUSELINE MARIE TORRES RECOVERY COACH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/20/2026
Last Update Date: 01/20/2026
Certification Date: 01/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 WASHINGTON ST STE 201
BRAINTREE MA
02184-4769
US

IV. Provider business mailing address

400 WASHINGTON ST STE 201
BRAINTREE MA
02184-4769
US

V. Phone/Fax

Practice location:
  • Phone: 857-939-5020
  • Fax:
Mailing address:
  • Phone: 857-939-5020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: