Provider Demographics
NPI:1144904145
Name:HERNANDEZ-RODAS, SOPHIA A (MS)
Entity type:Individual
Prefix:
First Name:SOPHIA
Middle Name:A
Last Name:HERNANDEZ-RODAS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:SOPHIA
Other - Middle Name:
Other - Last Name:HERNANDEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6949 S 110TH ST
Mailing Address - Street 2:
Mailing Address - City:LA VISTA
Mailing Address - State:NE
Mailing Address - Zip Code:68128-5721
Mailing Address - Country:US
Mailing Address - Phone:531-346-5926
Mailing Address - Fax:402-597-4811
Practice Address - Street 1:6949 S 110TH ST
Practice Address - Street 2:
Practice Address - City:LA VISTA
Practice Address - State:NE
Practice Address - Zip Code:68128-5721
Practice Address - Country:US
Practice Address - Phone:531-346-5926
Practice Address - Fax:402-597-4811
Is Sole Proprietor?:No
Enumeration Date:2023-06-12
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE13377101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health