Provider Demographics
NPI:1053320143
Name:HERNANDEZ, TOMAS HECTOR (LMHC, FMD)
Entity Type:Individual
Prefix:MR
First Name:TOMAS
Middle Name:HECTOR
Last Name:HERNANDEZ
Suffix:
Gender:M
Credentials:LMHC, FMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1251 SW 124TH CT # 23-E
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33184-2321
Mailing Address - Country:US
Mailing Address - Phone:786-344-4188
Mailing Address - Fax:
Practice Address - Street 1:11401 SW 40TH ST STE 335
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-3300
Practice Address - Country:US
Practice Address - Phone:786-344-4188
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-07
Last Update Date:2010-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 8434101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health