Provider Demographics
NPI:1548578727
Name:HERNANDO-VALDES, CARMEN (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:CARMEN
Middle Name:
Last Name:HERNANDO-VALDES
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10991 NW 48TH TER
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33178-4307
Mailing Address - Country:US
Mailing Address - Phone:305-498-4191
Mailing Address - Fax:
Practice Address - Street 1:10991 NW 48TH TER
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33178-4307
Practice Address - Country:US
Practice Address - Phone:305-498-4191
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-21
Last Update Date:2010-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH5579101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health