Provider Demographics
NPI:1558068130
Name:TORO, LINA M (LMHC)
Entity Type:Individual
Prefix:
First Name:LINA
Middle Name:M
Last Name:TORO
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 1:1023 NECK LN UNIT 202
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH
Mailing Address - State:NJ
Mailing Address - Zip Code:07201-3434
Mailing Address - Country:US
Mailing Address - Phone:646-374-7568
Mailing Address - Fax:
Practice Address - Street 1:1023 NECK LN UNIT 202
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07201-3434
Practice Address - Country:US
Practice Address - Phone:646-374-7568
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-14
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013166101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health