Provider Demographics
NPI:1598320293
Name:TORREZ, LEANA (LMHC)
Entity Type:Individual
Prefix:
First Name:LEANA
Middle Name:
Last Name:TORREZ
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 1:1275 US HIGHWAY 1 STE 26031
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32960-5783
Mailing Address - Country:US
Mailing Address - Phone:772-202-0517
Mailing Address - Fax:772-365-0929
Practice Address - Street 1:881 SW HAAS AVE
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34953-5610
Practice Address - Country:US
Practice Address - Phone:772-202-0517
Practice Address - Fax:772-365-0929
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-08
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH17081101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLMH17081OtherSTATE LICENSE