Provider Demographics
NPI:1235346826
Name:TORRENCE, ANITA FAYE (LCSW)
Entity Type:Individual
Prefix:
First Name:ANITA
Middle Name:FAYE
Last Name:TORRENCE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:258 CHARTER WAY
Mailing Address - Street 2:
Mailing Address - City:W.P.B.
Mailing Address - State:FL
Mailing Address - Zip Code:33407
Mailing Address - Country:US
Mailing Address - Phone:561-315-4390
Mailing Address - Fax:
Practice Address - Street 1:258 CHARTER WAY
Practice Address - Street 2:
Practice Address - City:W.P.B.
Practice Address - State:FL
Practice Address - Zip Code:33407
Practice Address - Country:US
Practice Address - Phone:561-315-4390
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2013-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW95021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical