Provider Demographics
NPI:1346425832
Name:HERNANDEZ, HEATHER D (MS, LMHC)
Entity Type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:D
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:MS, LMHC
Other - Prefix:MS
Other - First Name:HEATHER
Other - Middle Name:D
Other - Last Name:HINDMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, LMHC
Mailing Address - Street 1:5670 S I ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98408-3437
Mailing Address - Country:US
Mailing Address - Phone:253-145-4104
Mailing Address - Fax:425-905-3324
Practice Address - Street 1:5670 S I ST
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98408-3437
Practice Address - Country:US
Practice Address - Phone:425-314-5410
Practice Address - Fax:425-905-3324
Is Sole Proprietor?:No
Enumeration Date:2008-01-03
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60344285101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health