Provider Demographics
NPI:1801335260
Name:TORRES, NIVEA LUZ (MRC)
Entity type:Individual
Prefix:MRS
First Name:NIVEA
Middle Name:LUZ
Last Name:TORRES
Suffix:
Gender:F
Credentials:MRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:916 ALBERTVILLE CT
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34759-3418
Mailing Address - Country:US
Mailing Address - Phone:787-368-3094
Mailing Address - Fax:
Practice Address - Street 1:916 ALBERTVILLE CT
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34759-3418
Practice Address - Country:US
Practice Address - Phone:787-368-3094
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-17
Last Update Date:2017-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health