Provider Demographics
NPI:1083745301
Name:HERNANDEZ, OREN M (PHD, LMHC, LMFT, CAP)
Entity Type:Individual
Prefix:
First Name:OREN
Middle Name:M
Last Name:HERNANDEZ
Suffix:
Gender:M
Credentials:PHD, LMHC, LMFT, CAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8787
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33075-8787
Mailing Address - Country:US
Mailing Address - Phone:954-753-1552
Mailing Address - Fax:954-753-2063
Practice Address - Street 1:1515 N UNIVERSITY DR
Practice Address - Street 2:SUITE 206
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33071-6096
Practice Address - Country:US
Practice Address - Phone:954-753-1552
Practice Address - Fax:954-753-2063
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2013-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCAP 1654101YA0400X
FLMH 1567101YM0800X
FLMT 1385106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist