| Ms Michelle C Hernandez, LMHC | |
|
255 Park Ave, Suite 500, Worcester, MA 01609-1953 | |
| (508) 753-2900 | |
| Not Available |
| Full Name | Ms Michelle C Hernandez |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 23 Years |
| Location | 255 Park Ave, Worcester, Massachusetts |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649386277 | NPI | - | NPPES |
| 1308785 | Other | MA | MCD MH |
| 2220002001 | Other | MA | BCBS SA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 5880 (Massachusetts) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 5880 (Massachusetts) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Flying High Farm Inc | 4880978865 | 3 |
| Entity Name | Flying High Farm Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598954539 PECOS PAC ID: 4880978865 Enrollment ID: O20170313000962 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Michelle C Hernandez, LMHC 879 Union St, Leominster, MA 01453-5184 Ph: (508) 317-6411 | Ms Michelle C Hernandez, LMHC 255 Park Ave, Suite 500, Worcester, MA 01609-1953 Ph: (508) 753-2900 |
Mayra A Maldonado, B.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 172 Lincoln St, Worcester, MA 01605 Phone: 508-770-0511 |
Miss Kara Lynn Ford, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 335 Chandler St, Worcester, MA 01602 Phone: 508-753-2967 |
Rosemary Robinson Milburn, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 107 Lincoln St, Worcester, MA 01605 Phone: 508-453-3013 Fax: 508-795-0224 |
Miss Andrene Latoya Scarlett, Counselor Medicare: Not Enrolled in Medicare Practice Location: 335 Chandler St, Worcester, MA 01602 Phone: 508-767-3038 |
Efrain Vazquez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 345a Greenwood St, Worcester, MA 01607 Phone: 508-363-0200 |
Robert Jarrard Iii, Counselor Medicare: Not Enrolled in Medicare Practice Location: 81 Plantation St, Worcester, MA 01604 Phone: 774-262-0426 |
Bailey Hanek, Counselor Medicare: Not Enrolled in Medicare Practice Location: 81 Plantation St, Worcester, MA 01604 Phone: 508-849-5600 |