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General NPI Number Information
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NPI Number | 1114437191
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Entity Type | Individual
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Provider Name | INGRID HERNANDEZ LMHC, LPC
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Gender | Female
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Dates
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Enumeration Date | 10/04/2017
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Last Update Date | 02/10/2025
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Provider Practice Location Address
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Address Line | 8570 STIRLING RD STE 102-376
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City | HOLLYWOOD
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State | FL
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Zip | 33024-8203
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Country | US
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Telephone | 786-383-3455
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Fax |
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Provider Business Mailing Address
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Address Line | 8570 STIRLING RD STE 102-376
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City | HOLLYWOOD
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State | FL
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Zip | 33024-8203
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Country | US
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Telephone | 786-383-3455
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 8226
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH17649
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LH61254759
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License Number State | WA
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