CASSIDY LAYNE HERNANDEZ
NPI 1063293132
Counselor - Mental Health in Detroit, MI
Active since October 13, 2023
About Cassidy Layne Hernandez NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CASSIDY LAYNE HERNANDEZ (NPI 1063293132) is an individual mental health provider in Detroit, Michigan, licensed in Michigan (6451023253) and active in the NPI registry since October 2023.
NPPES Registry Identity
NPI1063293132
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCASSIDY LAYNE HERNANDEZ
Location Address11150 EAST JEFFERSONDetroit, MI 48214
Mailing Address11150 East JeffersonDetroit, MI 48214 · (517) 894-8020
Phone(517) 894-8020
Sole ProprietorNo
Enumeration DateOctober 13, 2023
NPPES CertifiedOctober 12, 2023
✔ NPI 1063293132 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MI · 6451023253
11150 EAST JEFFERSON, Detroit, MI 48214
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063293132, enumerated as an "individual" on October 13, 2023.
The provider is located at 11150 EAST JEFFERSON DETROIT, MI 48214 and the phone number is (517) 894-8020.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
