MEDICARE: DR. ILEANA HERNANDEZ PH.D., 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	MH15349	FL

General Provider Information

NPI Number	:	1841157443
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ILEANA HERNANDEZ PH.D., LMHC

Provider Business Mailing Address
First Line	:	215 NW 109TH AVE APT 3
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33172-5218
Country	:	US
Telephone Number	:	305-984-5671
Fax Number	:

Provider Business Practice Location Address
First Line	:	215 NW 109TH AVE APT 3
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33172-5218
Country	:	US
Telephone Number	:	305-984-5671
Fax Number	:

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

Provider Enumeration Date	:	01/06/2026
Last Update Date	:	01/06/2026

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