MEDICARE: YESENIA NATALY HERNANDEZ LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	73840	TX

General Provider Information

NPI Number	:	1033605746
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YESENIA NATALY HERNANDEZ LPC

Provider Business Mailing Address
First Line	:	1880 S DAIRY ASHFORD RD
Second Line	:	STE 207 PMB 714
City	:	HOUSTON
State	:	TX
Zip	:	77077
Country	:	US
Telephone Number	:	832-582-1062
Fax Number	:

Provider Business Practice Location Address
First Line	:	2010 NORTH LOOP W STE 115
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77018-8131
Country	:	US
Telephone Number	:	832-582-1062
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2018
Last Update Date	:	08/07/2023

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