Provider Demographics
NPI:1053983197
Name:TORRES MENDOZA, PRISCILLIANA (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:PRISCILLIANA
Middle Name:
Last Name:TORRES MENDOZA
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3081 SALZEDO ST # 202L
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-6722
Mailing Address - Country:US
Mailing Address - Phone:305-440-8506
Mailing Address - Fax:
Practice Address - Street 1:3081 SALZEDO ST # 202L
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-6722
Practice Address - Country:US
Practice Address - Phone:305-440-8506
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-16
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW21505101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health