Provider Demographics
NPI:1821359126
Name:TORRES, ASHLIE MARIE (BS)
Entity Type:Individual
Prefix:
First Name:ASHLIE
Middle Name:MARIE
Last Name:TORRES
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1170 TIGER ST SE
Mailing Address - Street 2:
Mailing Address - City:PALM BAY
Mailing Address - State:FL
Mailing Address - Zip Code:32909-5516
Mailing Address - Country:US
Mailing Address - Phone:321-591-5760
Mailing Address - Fax:
Practice Address - Street 1:1170 TIGER ST SE
Practice Address - Street 2:
Practice Address - City:PALM BAY
Practice Address - State:FL
Practice Address - Zip Code:32909-5516
Practice Address - Country:US
Practice Address - Phone:321-591-5760
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-04
Last Update Date:2022-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCCMS100419-AC104100000X
171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No171M00000XOther Service ProvidersCase Manager/Care Coordinator