Provider Demographics
NPI:1104104256
Name:HERNANDEZ, ADRIANA (LMFT)
Entity type:Individual
Prefix:
First Name:ADRIANA
Middle Name:
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:ADRIANA
Other - Middle Name:
Other - Last Name:ZAPATA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7500 NW 25TH ST STE 242
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33122-1720
Mailing Address - Country:US
Mailing Address - Phone:305-748-2949
Mailing Address - Fax:305-639-9917
Practice Address - Street 1:7500 NW 25TH ST STE 242
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33122-1720
Practice Address - Country:US
Practice Address - Phone:305-748-2949
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-22
Last Update Date:2019-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103K00000X
FLMT2467106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL023009200Medicaid