Provider Demographics
NPI:1114193422
Name:HERNANDEZ-LEE, ANA
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:
Last Name:HERNANDEZ-LEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2810 W CHARLESTON BLVD STE 74
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-1910
Mailing Address - Country:US
Mailing Address - Phone:725-291-2700
Mailing Address - Fax:725-291-2701
Practice Address - Street 1:2810 W CHARLESTON BLVD STE 74
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-1910
Practice Address - Country:US
Practice Address - Phone:725-291-2700
Practice Address - Fax:725-291-2701
Is Sole Proprietor?:No
Enumeration Date:2008-05-06
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator