Provider Demographics
NPI:1174861249
Name:HERNANDEZ ENTERPRISES, LLC
Entity Type:Organization
Organization Name:HERNANDEZ ENTERPRISES, LLC
Other - Org Name:HERNANDEZ COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/CLINICIAN
Authorized Official - Prefix:MS
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:E
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LSCSW
Authorized Official - Phone:785-404-6065
Mailing Address - Street 1:215 S SANTA FE AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:SALINA
Mailing Address - State:KS
Mailing Address - Zip Code:67401-3980
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:215 S SANTA FE AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:SALINA
Practice Address - State:KS
Practice Address - Zip Code:67401-3980
Practice Address - Country:US
Practice Address - Phone:785-404-6065
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-24
Last Update Date:2013-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLSCSW 41641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty