Provider Demographics
NPI:1174059380
Name:TORAL, VIVIANNE EVELYN (MS)
Entity type:Individual
Prefix:MRS
First Name:VIVIANNE
Middle Name:EVELYN
Last Name:TORAL
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MS
Other - First Name:VIVIANNE
Other - Middle Name:EVELYN
Other - Last Name:ZUNIGA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:101 NW 85TH PL
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-8317
Mailing Address - Country:US
Mailing Address - Phone:786-351-9163
Mailing Address - Fax:
Practice Address - Street 1:7875 SW 104TH ST
Practice Address - Street 2:SUITE 101
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33156-2677
Practice Address - Country:US
Practice Address - Phone:305-740-8998
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-08
Last Update Date:2017-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL15397OtherREGISTERED MENTAL HEALTH COUNSELOR INTERN