Provider Demographics
NPI:1841055894
Name:TALABERA TORRES, EDITA (CBHCM)
Entity type:Individual
Prefix:MRS
First Name:EDITA
Middle Name:
Last Name:TALABERA TORRES
Suffix:
Gender:F
Credentials:CBHCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10227 NW 9TH STREET CIR APT 401-3
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33172-3269
Mailing Address - Country:US
Mailing Address - Phone:786-461-0841
Mailing Address - Fax:
Practice Address - Street 1:10227 NW 9TH STREET CIR APT 401-3
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33172-6629
Practice Address - Country:US
Practice Address - Phone:786-461-0841
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-19
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker