Mrs Lisa Ivette Hernandez, | |
2143 Morris Ave, Suite #4, Union, NJ 07083-6036 | |
(908) 851-2223 | |
(908) 851-2772 |
Full Name | Mrs Lisa Ivette Hernandez |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 2143 Morris Ave, Union, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407913544 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 44SCO5157900 (New Jersey) | Primary |
Entity Name | Chr Behavioral Health Partners Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699832733 PECOS PAC ID: 1153662911 Enrollment ID: O20190404002759 |
Mailing Address | Practice Location Address |
---|---|
Mrs Lisa Ivette Hernandez, 2143 Morris Ave, Suite #4, Union, NJ 07083-6036 Ph: (908) 851-2223 | Mrs Lisa Ivette Hernandez, 2143 Morris Ave, Suite #4, Union, NJ 07083-6036 Ph: (908) 851-2223 |
Amanda L. Kent, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 407 Chestnut St, Union, NJ 07083 Phone: 908-854-4651 | |
Ashley Rose Kondracki, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2191 Morris Ave, Union, NJ 07083 Phone: 908-377-9942 | |
Talia Eason, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2204 Morris Ave Ste 308, Union, NJ 07083 Phone: 908-322-9623 | |
Gold Oleka, Counselor Medicare: Not Enrolled in Medicare Practice Location: 936 Stuyvesant Ave, Union, NJ 07083 Phone: 908-875-9236 | |
Joanna Brevan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2780 Morris Ave, Union, NJ 07083 Phone: 609-651-4001 | |
Krista Marie Johnson, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 43 Progress St, Union, NJ 07083 Phone: 908-687-7188 | |
Cindy Elaine Walker, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2204 Morris Ave # Suitei-4, Union, NJ 07083 Phone: 973-433-6051 |