| Doctor Name: | MRS. TAMI RANAE HERNANDEZ |
| NPI Number: | 1518152529 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MHR LPC |
| License Number: | 3125 |
| Business Practice Address: | 527 West Third St Konawa, OK - 74849 |
| Business Phone Number: | 5809253286 |
| Business Fax Number: | 5809252362 |
| Mailing Address: | Po Box 358, 527 West Third St KONAWA |
| State: | OK |
| Postal Code: | 74849 |
| Phone Number: | 5809253286 |
| Fax Number: | 5809252362 |
| NPI Enumeration Date: | 09/12/2007 |
| NPI Last Update Date: | 02/12/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 3125 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |