Provider Demographics
NPI:1518197466
Name:GARRIDO-TORTORICI, AELEEN B (MS, LMHC)
Entity Type:Individual
Prefix:MRS
First Name:AELEEN
Middle Name:B
Last Name:GARRIDO-TORTORICI
Suffix:
Gender:F
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9126 GRIFFIN RD
Mailing Address - Street 2:
Mailing Address - City:COOPER CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33328-3540
Mailing Address - Country:US
Mailing Address - Phone:954-434-5784
Mailing Address - Fax:954-434-5784
Practice Address - Street 1:9126 GRIFFIN RD
Practice Address - Street 2:
Practice Address - City:COOPER CITY
Practice Address - State:FL
Practice Address - Zip Code:33328-3540
Practice Address - Country:US
Practice Address - Phone:954-434-5784
Practice Address - Fax:954-434-5784
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-24
Last Update Date:2009-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH8121101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health