Healthcare Provider Details

I. General information

NPI: 1881293009
Provider Name (Legal Business Name): ROSEMARY HERNANDEZ LPC, NCC, CCC, ACS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ROSEMARY BRITO LPC, NCC, CCC, ACS

II. Dates (important events)

Enumeration Date: 10/19/2020
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 WASHINGTON AVE 513
BELLEVILLE NJ
07109
US

IV. Provider business mailing address

100 WASHINGTON AVE 513
BELLEVILLE NJ
07109
US

V. Phone/Fax

Practice location:
  • Phone: 973-445-8171
  • Fax:
Mailing address:
  • Phone: 973-445-8171
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number37PC00809600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: