Provider Demographics
NPI:1649960485
Name:LLORENTE, BRYAN (LCSW)
Entity type:Individual
Prefix:MR
First Name:BRYAN
Middle Name:
Last Name:LLORENTE
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1117 N ORANGE DR APT 103
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90038-2338
Mailing Address - Country:US
Mailing Address - Phone:954-681-3265
Mailing Address - Fax:
Practice Address - Street 1:113 N INDIES DR
Practice Address - Street 2:
Practice Address - City:DUCK KEY
Practice Address - State:FL
Practice Address - Zip Code:33050-3701
Practice Address - Country:US
Practice Address - Phone:954-681-3265
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-12
Last Update Date:2025-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW21455101YM0800X
CALCSW133872101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health