Provider Demographics
NPI:1003595398
Name:LILIANA HERNANDEZ, LMFT
Entity Type:Organization
Organization Name:LILIANA HERNANDEZ, LMFT
Other - Org Name:LILIANA HERNANDEZ, LMFT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LILIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:818-269-1260
Mailing Address - Street 1:19842 ERMINE ST
Mailing Address - Street 2:
Mailing Address - City:CANYON COUNTRY
Mailing Address - State:CA
Mailing Address - Zip Code:91351-1135
Mailing Address - Country:US
Mailing Address - Phone:818-269-1260
Mailing Address - Fax:661-309-4624
Practice Address - Street 1:110 N MACLAY AVE STE 108
Practice Address - Street 2:
Practice Address - City:SAN FERNANDO
Practice Address - State:CA
Practice Address - Zip Code:91340-2986
Practice Address - Country:US
Practice Address - Phone:818-269-1260
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LILIANA HERNANDEZ
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-07-13
Last Update Date:2024-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty