Provider Demographics
NPI:1336302025
Name:HERNANDEZ, ROSEMARY Z (LPC-S)
Entity Type:Individual
Prefix:DR
First Name:ROSEMARY
Middle Name:Z
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12790 FM 1560 N UNIT 680
Mailing Address - Street 2:
Mailing Address - City:HELOTES
Mailing Address - State:TX
Mailing Address - Zip Code:78023-2229
Mailing Address - Country:US
Mailing Address - Phone:210-831-9417
Mailing Address - Fax:210-201-1190
Practice Address - Street 1:12030 BANDERA RD STE 108-1030
Practice Address - Street 2:
Practice Address - City:HELOTES
Practice Address - State:TX
Practice Address - Zip Code:78023-4735
Practice Address - Country:US
Practice Address - Phone:210-831-9417
Practice Address - Fax:210-201-1190
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-03
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX60727101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional