Doctor Name: | LUCIA REYES-HERNANDEZ |
NPI Number: | 1053537688 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | 8699 |
Business Practice Address: | 600 Sandtree Dr Palm Beach Gardens, FL - 334031597 |
Business Phone Number: | 5619215824 |
Business Fax Number: | |
Mailing Address: | 9073 Brandy Ln, LAKE WORTH |
State: | FL |
Postal Code: | 334674725 |
Phone Number: | 9545546687 |
Fax Number: | |
NPI Enumeration Date: | 04/18/2007 |
NPI Last Update Date: | 09/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 8699 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |