Provider Demographics
NPI:1538817606
Name:HERNANDEZ, PATRICIA (MED, LPC, NCC)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:MED, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12370 POTRANCO RD
Mailing Address - Street 2:SUITE 207 PMB 1232
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78253-4260
Mailing Address - Country:US
Mailing Address - Phone:210-201-4711
Mailing Address - Fax:210-761-8171
Practice Address - Street 1:12370 POTRANCO RD
Practice Address - Street 2:SUITE 207 PMB 1232
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78253-4260
Practice Address - Country:US
Practice Address - Phone:210-201-4711
Practice Address - Fax:210-761-8171
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-16
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX87384101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health