Provider Demographics
NPI:1417539990
Name:AMZA, TORIE D (LPC)
Entity Type:Individual
Prefix:MRS
First Name:TORIE
Middle Name:D
Last Name:AMZA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6445 NE 7TH AVE APT 207N
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33138-6452
Mailing Address - Country:US
Mailing Address - Phone:225-315-2160
Mailing Address - Fax:
Practice Address - Street 1:6445 NE 7TH AVE APT 207N
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33138-6452
Practice Address - Country:US
Practice Address - Phone:225-315-2160
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-24
Last Update Date:2021-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA8919101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional