Provider Demographics
NPI:1548778400
Name:HERNANDEZ, NORMA ALEJANDRA (LPC)
Entity Type:Individual
Prefix:MS
First Name:NORMA
Middle Name:ALEJANDRA
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:NORMA
Other - Middle Name:ALEJANDRA
Other - Last Name:HERNANDEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1741 MEDINA DR
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150-6841
Mailing Address - Country:US
Mailing Address - Phone:469-463-7252
Mailing Address - Fax:
Practice Address - Street 1:3960 BROADWAY BLVD STE 220D
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75043-8336
Practice Address - Country:US
Practice Address - Phone:972-926-3229
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-12
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX74430101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional