Healthcare Provider Details

I. General information

NPI: 1083500292
Provider Name (Legal Business Name): MICHELLE HERNANDEZ-MORFIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2025
Last Update Date: 09/30/2025
Certification Date: 09/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

882 W HENDERSON AVE
PORTERVILLE CA
93257-1774
US

IV. Provider business mailing address

PO BOX 11667
EARLIMART CA
93219-1667
US

V. Phone/Fax

Practice location:
  • Phone: 559-342-9055
  • Fax:
Mailing address:
  • Phone: 661-375-9418
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: