Provider Demographics
NPI:1669629598
Name:TORRIERE-WILSON, RENEE ROSEMARY (MA, LMHC)
Entity Type:Individual
Prefix:
First Name:RENEE
Middle Name:ROSEMARY
Last Name:TORRIERE-WILSON
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:RENEE
Other - Middle Name:
Other - Last Name:TORRIERE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:9050 PINES BLVD STE 305
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33024-6422
Mailing Address - Country:US
Mailing Address - Phone:754-704-6867
Mailing Address - Fax:
Practice Address - Street 1:9050 PINES BLVD STE 305
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33024-6422
Practice Address - Country:US
Practice Address - Phone:754-704-6867
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-21
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH12967101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional