Provider Demographics
NPI:1457752354
Name:TORRES, ILIANA BIANCA (MS, RMHCI #10738)
Entity Type:Individual
Prefix:MRS
First Name:ILIANA
Middle Name:BIANCA
Last Name:TORRES
Suffix:
Gender:F
Credentials:MS, RMHCI #10738
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3101 LAKE EASTERN BLVD
Mailing Address - Street 2:APT 204
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32817-5153
Mailing Address - Country:US
Mailing Address - Phone:407-421-6163
Mailing Address - Fax:
Practice Address - Street 1:1950 LEE RD STE 110
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-1847
Practice Address - Country:US
Practice Address - Phone:407-561-3459
Practice Address - Fax:321-296-6847
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-10
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRMHCI # 10738101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health