Provider Demographics
NPI:1467985523
Name:TORRES, ANNA IZABELA (LMHC)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:IZABELA
Last Name:TORRES
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:IZABELA
Other - Last Name:TEMPLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:58 PIN OAK DR
Mailing Address - Street 2:
Mailing Address - City:PALM COAST
Mailing Address - State:FL
Mailing Address - Zip Code:32164-7013
Mailing Address - Country:US
Mailing Address - Phone:386-871-6055
Mailing Address - Fax:386-206-1767
Practice Address - Street 1:58 PIN OAK DR
Practice Address - Street 2:
Practice Address - City:PALM COAST
Practice Address - State:FL
Practice Address - Zip Code:32164-7013
Practice Address - Country:US
Practice Address - Phone:138-687-1605
Practice Address - Fax:386-206-1767
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-06
Last Update Date:2021-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH11118101YA0400X, 101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health