Provider Demographics
NPI:1437514908
Name:ORTEZ, HERMAN (EDD, LPCMH, NCC)
Entity Type:Individual
Prefix:DR
First Name:HERMAN
Middle Name:
Last Name:ORTEZ
Suffix:
Gender:M
Credentials:EDD, LPCMH, NCC
Other - Prefix:DR
Other - First Name:HERMAN
Other - Middle Name:
Other - Last Name:ORTEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPCMH, NCC
Mailing Address - Street 1:308 BAYARD ST STE 655
Mailing Address - Street 2:
Mailing Address - City:DELAWARE CITY
Mailing Address - State:DE
Mailing Address - Zip Code:19706-8728
Mailing Address - Country:US
Mailing Address - Phone:302-559-3475
Mailing Address - Fax:302-838-2969
Practice Address - Street 1:3301 GREEN ST STE 241
Practice Address - Street 2:
Practice Address - City:CLAYMONT
Practice Address - State:DE
Practice Address - Zip Code:19703-2052
Practice Address - Country:US
Practice Address - Phone:302-559-4683
Practice Address - Fax:302-838-2969
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-28
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEPC-0000891101YM0800X, 101YA0400X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty