Provider Demographics
NPI:1437899556
Name:PEREZ-HERNANDEZ, BELINDA ANN
Entity Type:Individual
Prefix:MS
First Name:BELINDA
Middle Name:ANN
Last Name:PEREZ-HERNANDEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:870 ELKINS LK
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:77340-7323
Mailing Address - Country:US
Mailing Address - Phone:936-220-2944
Mailing Address - Fax:936-818-0012
Practice Address - Street 1:1806 DEVONSHIRE DR.
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:TX
Practice Address - Zip Code:77340
Practice Address - Country:US
Practice Address - Phone:936-220-2944
Practice Address - Fax:936-818-0012
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-29
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80982101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty