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Provider Information for 1881364255


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MICHELLE N TORTORA LMHC


Sex: Female

NPI: 1881364255
Last Updated: 2024-09-06
Certification Date: 2024-09-06

Details

NameValue
NPI1881364255
Enumeration Date2021-09-17
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 4520 BOTANICAL PLACE CIR FL USA 104
NAPLES, FL 34112-2400
United States

Phone: | Fax:
 
Primary Practice Address 1725 HERITAGE TRL STE 301
NAPLES, FL 34112-8716
United States

Phone: 508-369-2109 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 225X00000X - Occupational Therapist FL25549
No 101YM0800X - Counselor - Mental HealthMA12407