Individual
ELIANNY HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
355 PRAIRIE AVE, PROVIDENCE, RI 02905-1928
(401) 921-8649
Mailing address
429 RIVER AVE, PROVIDENCE, RI 02908-3433
(401) 921-8649
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDP01028
RI
104100000X
Social Worker
Primary
CSW03311
RI
Other
Enumeration date
07/19/2023
Last updated
03/03/2025
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