| Dr Myra Hernandez, PHD, LPC-S | |
|
5900 Balcones Dr Ste 9355, Austin, TX 78731-4257 | |
| (915) 703-1415 | |
| (915) 235-3201 |
| Full Name | Dr Myra Hernandez |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 5900 Balcones Dr Ste 9355, Austin, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033322417 | NPI | - | NPPES |
| 029085011 | Medicaid | TX | |
| 1578255246 | Other | TX | NPI |
| 4714040 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 16481 (Texas) | Primary |
| 101YP2500X | Counselor - Professional | 16481 (Texas) | Secondary |
| Entity Name | Growth Space, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578255246 PECOS PAC ID: 9830548890 Enrollment ID: O20231215001531 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Myra Hernandez, PHD, LPC-S 5900 Balcones Dr Ste 9355, Austin, TX 78731-4257 Ph: (915) 703-1415 | Dr Myra Hernandez, PHD, LPC-S 5900 Balcones Dr Ste 9355, Austin, TX 78731-4257 Ph: (915) 703-1415 |
Mr. David A Miller, LPC, MED Counselor Medicare: Not Enrolled in Medicare Practice Location: 1001 West Ave Ste B, Austin, TX 78701 Phone: 512-608-2024 | |
Ms. Virginia Adams Bloom, MED, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1310 S 1st St Ste 200, Austin, TX 78704 Phone: 512-627-0390 Fax: 512-288-1909 | |
Mr. Vox Bd Vandyke, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2212 Tom Miller St, Austin, TX 78723 Phone: 978-407-3133 | |
Trina K Bluford Ita, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 910 E Cesar Chavez St, Austin, TX 78702 Phone: 888-823-9194 Fax: 888-708-9413 | |
Dr. Dynetta Clark, LPC-S, LPC, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5900 Balcones Dr Ste 4000, Austin, TX 78731 Phone: 512-200-3926 | |
Laura Violeta Duenas-guerrero, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2525 Wallingwood Dr, Bldg. 8, Ste. 800, Austin, TX 78746 Phone: 512-348-8713 | |
Paula Nicholas Storrer, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2404 W 8th St, Austin, TX 78703 Phone: 512-925-2412 |