Provider Demographics
NPI:1013419266
Name:TORRES, SANDRA (MA , LMHC)
Entity Type:Individual
Prefix:MS
First Name:SANDRA
Middle Name:
Last Name:TORRES
Suffix:
Gender:F
Credentials:MA , LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10967 LAKE UNDERHILL RD STE 112
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32825-4434
Mailing Address - Country:US
Mailing Address - Phone:407-545-9410
Mailing Address - Fax:
Practice Address - Street 1:10967 LAKE UNDERHILL RD STE 112
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32825-4434
Practice Address - Country:US
Practice Address - Phone:407-545-9410
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-05
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH20879101YM0800X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty