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Provider Information for 1417539990


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TORIE D. AMZA LMHC


Sex: Female

NPI: 1417539990
Last Updated: 2025-02-10
Certification Date: 2025-02-10

Details

NameValue
NPI1417539990
Enumeration Date2021-04-24
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 6445 NE 7TH AVE APT 207N
MIAMI, FL 33138-6452
United States

Phone: 225-315-2160 | Fax:
 
Primary Practice Address 2801 NE 213TH ST STE 1215
AVENTURA, FL 33180-1267
United States

Phone: 833-769-3524 | Fax:786-288-0384
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 101YP2500X - Counselor - ProfessionalLA8919
Yes 101YM0800X - Counselor - Mental HealthFLMH24672