Provider Demographics
NPI:1093583221
Name:HERNANDEZ, NADIA E (LCMHCA)
Entity Type:Individual
Prefix:
First Name:NADIA
Middle Name:E
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 ROSEWOOD AVE UNIT A
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-1616
Mailing Address - Country:US
Mailing Address - Phone:828-582-8381
Mailing Address - Fax:
Practice Address - Street 1:56 ROSEWOOD AVE UNIT A
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-1616
Practice Address - Country:US
Practice Address - Phone:828-582-8381
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-18
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA16934101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health