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NPI Code Detail

MEDICARE: YANDY HERNANDEZ LMHC

MEDICARE:   YANDY  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
1104100000XSocial Worker
2101YM0800XMental Health CounselorMH10091FL

Other Identifiers

General Provider Information

NPI Number : 1275561904
Entity Type Code : Individual
Provider Name (Legal Business Name) : YANDY HERNANDEZ LMHC
Provider Business Mailing Address
First Line : 4175 WEST 20TH AVENUE
Second Line :
City : HIALEAH
State : FL
Zip : 33012
Country : US
Telephone Number : 305-825-0300
Fax Number : 305-424-3184
Provider Business Practice Location Address
First Line : 4175 WEST 20TH AVENUE
Second Line :
City : HIALEAH
State : FL
Zip : 33012
Country : US
Telephone Number : 305-825-0300
Fax Number : 305-424-3184
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2006
Last Update Date : 02/22/2011

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