MEDICARE: LUCIA REYES-HERNANDEZ LMHC

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	101YM0800X	Mental Health Counselor	8699	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053537688
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUCIA REYES-HERNANDEZ LMHC

Provider Business Mailing Address
First Line	:	6586 HYPOLUXO RD # 117
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-7678
Country	:	US
Telephone Number	:	561-921-5824
Fax Number	:

Provider Business Practice Location Address
First Line	:	7138 LAKE WORTH ROAD
Second Line	:	SUITE D
City	:	LAKE WORTH
State	:	FL
Zip	:	33467
Country	:	US
Telephone Number	:	561-921-5824
Fax Number	:

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

Provider Enumeration Date	:	04/18/2007
Last Update Date	:	07/06/2023

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