| Adele T Hernandez, Lpc Llc | |
|
2406 Macy Dr Roswell GA 30076-6343 | |
| (678) 829-2406 | |
| (888) 972-5317 |
| Full Name | Adele T Hernandez, Lpc Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2406 Macy Dr, Roswell, Georgia |
| Authorized Official Name and Position | Adele T Hernandez (CEO) |
| Authorized Official Contact | 6788292406 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adele T Hernandez, Lpc Llc 2406 Macy Dr Roswell GA 30076-6343 Ph: (678) 829-2406 | Adele T Hernandez, Lpc Llc 2406 Macy Dr Roswell GA 30076-6343 Ph: (678) 829-2406 |
| NPI Number | 1215389549 |
|---|---|
| Provider Enumeration Date | 07/11/2016 |
| Last Update Date | 07/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215389549 | NPI | - | NPPES |
| LPC006565 | Other | GA | LPC LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC006565 (Georgia) | Primary |
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