Provider Demographics
NPI:1396039889
Name:TORCHON, GINA TEISHA
Entity Type:Individual
Prefix:
First Name:GINA
Middle Name:TEISHA
Last Name:TORCHON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6226 BELDON DR
Mailing Address - Street 2:
Mailing Address - City:MOUNT DORA
Mailing Address - State:FL
Mailing Address - Zip Code:32757-8007
Mailing Address - Country:US
Mailing Address - Phone:407-733-8359
Mailing Address - Fax:
Practice Address - Street 1:6226 BELDON DR
Practice Address - Street 2:
Practice Address - City:MOUNT DORA
Practice Address - State:FL
Practice Address - Zip Code:32757-8007
Practice Address - Country:US
Practice Address - Phone:407-733-8359
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-02
Last Update Date:2015-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor