Provider Demographics
NPI:1386223600
Name:TORRES SERRANO, ABIMELEC (MS, NCC, LCPC)
Entity Type:Individual
Prefix:MR
First Name:ABIMELEC
Middle Name:
Last Name:TORRES SERRANO
Suffix:
Gender:M
Credentials:MS, NCC, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 N. WOLFE ST.
Mailing Address - Street 2:MEYER 144
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21287
Mailing Address - Country:US
Mailing Address - Phone:443-287-5679
Mailing Address - Fax:410-955-5795
Practice Address - Street 1:600 N. WOLFE ST.
Practice Address - Street 2:MEYER 144
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287
Practice Address - Country:US
Practice Address - Phone:443-287-5679
Practice Address - Fax:410-955-5795
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-05
Last Update Date:2022-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC12825101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional