MEDICARE: BEATRICE FERNANDEZ 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	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	101YM0800X	Mental Health Counselor	MH15236	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MH15236	OTHER	FL	LMHC

General Provider Information

NPI Number	:	1942724869
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BEATRICE FERNANDEZ LMHC

Provider Business Mailing Address
First Line	:	220 SW 4TH AVE
Second Line	:
City	:	HALLANDALE BEACH
State	:	FL
Zip	:	33009-5433
Country	:	US
Telephone Number	:	954-740-3452
Fax Number	:

Provider Business Practice Location Address
First Line	:	220 SW 4TH AVE
Second Line	:
City	:	HALLANDALE BEACH
State	:	FL
Zip	:	33009-5433
Country	:	US
Telephone Number	:	954-740-3452
Fax Number	:

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

Provider Enumeration Date	:	08/02/2017
Last Update Date	:	02/09/2026

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