Healthcare Provider Details

I. General information

NPI: 1467374355
Provider Name (Legal Business Name): NAHOMY HERNANDEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 HOSPITAL DR
DOVER OH
44622-2058
US

IV. Provider business mailing address

1621 ROOSEVELT AVE
STEUBENVILLE OH
43952-1443
US

V. Phone/Fax

Practice location:
  • Phone: 330-343-6631
  • Fax:
Mailing address:
  • Phone: 845-587-2792
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC.2607930-TRNE
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: