Provider Demographics
NPI:1487997177
Name:SHEPKER, TORRE MIRANDON (LPC, AADC, NCC, MAC)
Entity type:Individual
Prefix:MRS
First Name:TORRE
Middle Name:MIRANDON
Last Name:SHEPKER
Suffix:
Gender:F
Credentials:LPC, AADC, NCC, MAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:755 ELECTRIC DR
Mailing Address - Street 2:
Mailing Address - City:SUMTER
Mailing Address - State:SC
Mailing Address - Zip Code:29153-1933
Mailing Address - Country:US
Mailing Address - Phone:803-905-5100
Mailing Address - Fax:803-905-5171
Practice Address - Street 1:755 ELECTRIC DR
Practice Address - Street 2:
Practice Address - City:SUMTER
Practice Address - State:SC
Practice Address - Zip Code:29153-1933
Practice Address - Country:US
Practice Address - Phone:803-905-5100
Practice Address - Fax:803-905-5171
Is Sole Proprietor?:No
Enumeration Date:2013-04-01
Last Update Date:2024-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC9847101YP2500X
SC2148101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)