Provider Demographics
NPI:1801310628
Name:LOPEZ HERNANDEZ, YOANY (LMHC)
Entity type:Individual
Prefix:
First Name:YOANY
Middle Name:
Last Name:LOPEZ HERNANDEZ
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 1:11105 SW 174TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33157-4024
Mailing Address - Country:US
Mailing Address - Phone:786-286-7037
Mailing Address - Fax:
Practice Address - Street 1:11105 SW 174TH TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33157-4024
Practice Address - Country:US
Practice Address - Phone:786-286-7037
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-02
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH18328101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health