Provider / Organization | NPI | Date Certified |
---|---|---|
SAMANTHA HERNANDEZ | 1811514680 | 2020-12-30 |
Samantha Hernandez is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1811514680. Registration indicates Samantha Hernandez is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Mental Health, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Mental Health, Behavioral Health & Social Service Providers) (Counselor, )
Entity Type | Individual |
Provider Name | Samantha Hernandez |
Practice Office Address | 2622 S 102ND LN TOLLESON, AZ US |
Practice Office Telephone | 4804427635 |
Mailing Address | PO BOX 304 TOLLESON, AZ 853530304 US |
Code | Practice | License No State |
---|---|---|
101YM0800X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Mental Health Behavioral Health/Substance Abuse/Psychiatry Counselor Mental Health Behavioral Health & Social Service Providers Counselor | 18885
AZ |