Timothy Hernandez, LADC I
Counselor, Addiction (Substance Use Disorder) in Fairhaven, Massachusetts
1336501691- Practice location
- 295 Sconticut Neck RD, Fairhaven, MA 02719-1506
- Phone
- 508-863-6733
- Fax
- —
- Last updated
- March 25, 2016
Timothy Hernandez is a Counselor, Addiction (Substance Use Disorder) based in Fairhaven, MA. Timothy Hernandez practices in Fairhaven, MA and has the professional credentials of LADC I. The NPI Number for Timothy Hernandez is 1336501691 and holds a License No. 11680 (MA). The current practice location address for Timothy Hernandez is 295 Sconticut Neck RD, Fairhaven, MA 02719-1506 and can be reached out via phone at 508-863-6733.
Provider Profile Details
- NPI Number
- 1336501691
- Provider Name
- Timothy Hernandez
- Credential
- LADC I
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 295 Sconticut Neck RD, Fairhaven, MA 02719-1506
- Phone Number
- 508-863-6733
- Primary Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 25, 2016
- Last Update Date
- March 25, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 295 Sconticut Neck RD
Fairhaven, MA 02719-1506 - City
- Fairhaven
- State
- Massachusetts
- Zip
- 02719-1506
- Phone Number
- 508-863-6733
Provider Business Mailing Address Details
- Address
- 295 Sconticut Neck RD
Fairhaven, MA 02719-1506 - City
- Fairhaven
- State
- MA
- Zip
- 02719-1506
- Phone Number
- 508-863-6733
License Information
- License Number
- 11680
- License State
- MA
- Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Timothy Hernandez, LADC I?
The NPI number of Timothy Hernandez, LADC I is 1336501691. It was assigned on March 25, 2016 and is currently active in the NPPES registry.
What is the specialty of Timothy Hernandez, LADC I?
Timothy Hernandez, LADC I is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in MA under license number 11680.
Where does Timothy Hernandez, LADC I practice?
The practice location is 295 Sconticut Neck RD, Fairhaven, MA 02719-1506. The office can be reached at 508-863-6733 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1336501691 directly on the NPPES registry website.