Provider Demographics
NPI:1932475084
Name:RICHARDS, TOREY CARL (LMHC)
Entity type:Individual
Prefix:
First Name:TOREY
Middle Name:CARL
Last Name:RICHARDS
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1616 MESSINA AVE
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32811-4831
Mailing Address - Country:US
Mailing Address - Phone:407-963-3570
Mailing Address - Fax:
Practice Address - Street 1:1616 MESSINA AVE
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32811-4831
Practice Address - Country:US
Practice Address - Phone:407-963-3570
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-22
Last Update Date:2012-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH11031101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health