Individual
BILLY HERNAIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2222 COLONIAL RD STE 100, FORT PIERCE, FL 34950-5309
(772) 489-4726
(772) 489-0423
Mailing address
5874 NW DOWSE ST, PORT ST LUCIE, FL 34986-3922
(917) 837-7989
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106H00000X
—
FL
Enumeration date
12/11/2015
Last updated
11/02/2021
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