Sidney R Torres Lmhc, Pllc | |
1881 Ne 26th St Ste 203a Wilton Manors FL 33305-1400 | |
(954) 288-3128 | |
(954) 343-8092 |
Full Name | Sidney R Torres Lmhc, Pllc |
---|---|
Speciality | Counselor |
Location | 1881 Ne 26th St Ste 203a, Wilton Manors, Florida |
Authorized Official Name and Position | Sidney R Torres (OWNER, PROVIDER) |
Authorized Official Contact | 9542883128 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Sidney R Torres Lmhc, Pllc 1881 Ne 26th St Ste 203a Wilton Manors FL 33305-1400 Ph: (954) 288-3128 | Sidney R Torres Lmhc, Pllc 1881 Ne 26th St Ste 203a Wilton Manors FL 33305-1400 Ph: (954) 288-3128 |
NPI Number | 1609335876 |
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Provider Enumeration Date | 03/18/2019 |
Last Update Date | 01/30/2024 |
Certification Date | 01/30/2024 |
Medicare PECOS PAC ID | 5890152979 |
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Medicare Enrollment ID | O20240131003636 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609335876 | NPI | - | NPPES |
1891232138 | Other | FL | 1891232138 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Sidney R Torres |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1891232138 PECOS PAC ID: 9436516515 Enrollment ID: I20240131004154 |
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