Provider Demographics
NPI:1427579622
Name:TORRES, AMANDA GARCIA (LMHC)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:GARCIA
Last Name:TORRES
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2251 7TH AVE APT 3S
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10027-7844
Mailing Address - Country:US
Mailing Address - Phone:210-373-3484
Mailing Address - Fax:
Practice Address - Street 1:4528 21ST ST FL 2
Practice Address - Street 2:
Practice Address - City:LONG ISLAND CITY
Practice Address - State:NY
Practice Address - Zip Code:11101-5247
Practice Address - Country:US
Practice Address - Phone:347-913-5853
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-28
Last Update Date:2017-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007522-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health