Healthcare Provider Details

I. General information

NPI: 1568398881
Provider Name (Legal Business Name): ANA MARIA TORMES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 N AMES ST APT 1
LYNN MA
01905-3245
US

IV. Provider business mailing address

11 N AMES ST APT 1
LYNN MA
01905-3245
US

V. Phone/Fax

Practice location:
  • Phone: 339-222-0909
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLCSW225096
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: