Provider Demographics
NPI:1548703200
Name:TORRES, DAMARIS (MA, LMHC)
Entity type:Individual
Prefix:MRS
First Name:DAMARIS
Middle Name:
Last Name:TORRES
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:MS
Other - First Name:DAMARIS
Other - Middle Name:
Other - Last Name:ESCARMENT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LMHC
Mailing Address - Street 1:2350 MINTON RD STE 103
Mailing Address - Street 2:
Mailing Address - City:WEST MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32904-6603
Mailing Address - Country:US
Mailing Address - Phone:321-426-0359
Mailing Address - Fax:
Practice Address - Street 1:2350 MINTON RD STE 103
Practice Address - Street 2:
Practice Address - City:WEST MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32904-6603
Practice Address - Country:US
Practice Address - Phone:321-426-0359
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-29
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL16867101YM0800X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health