DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: LISANDRY RODRIGUEZ CDCA

MEDICARE: LISANDRY RODRIGUEZ CDCA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor162525OH

General Provider Information

NPI Number : 1194234500
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISANDRY RODRIGUEZ CDCA
Provider Business Mailing Address
First Line : 3622 PROSPECT AVE E
Second Line :
City : CLEVELAND
State : OH
Zip : 44115-2704
Country : US
Telephone Number : 216-431-4600
Fax Number :
Provider Business Practice Location Address
First Line : 3622 PROSPECT AVE E
Second Line :
City : CLEVELAND
State : OH
Zip : 44115-2704
Country : US
Telephone Number : 216-431-4600
Fax Number : 216-431-4601
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2017
Last Update Date : 09/28/2017

Similar Medicare Providers

1073360012 — KATHERINE ANN FANTA LPC
Practice Location Address:
3622 PROSPECT AVE E
CLEVELAND, OH
44115-2704
Practice Phone: 216-431-4600
Practice Fax:
1881551331 — SARAH CATHERINE HASELEY
Practice Location Address:
3622 PROSPECT AVE E
CLEVELAND, OH
44115-2704
Practice Phone: 216-431-4600
Practice Fax:
1073211942 — REBECCA THWING
Practice Location Address:
3622 PROSPECT AVE E
CLEVELAND, OH
44115-2704
Practice Phone: 216-431-4600
Practice Fax:
1053824243 — MRS. PAULA HUNT CDCA
Practice Location Address:
3622 PROSPECT AVE E
CLEVELAND, OH
44115-2704
Practice Phone: 216-431-4600
Practice Fax: 216-431-4601
1356854574 — SHAWN HARDY CDCA
Practice Location Address:
3622 PROSPECT AVE E
CLEVELAND, OH
44115-2704
Practice Phone: 216-431-4600
Practice Fax:
1790284560 — MR. ANTONIO DANTE CONWAY LPCC, LICDC
Practice Location Address:
3622 PROSPECT AVE E
CLEVELAND, OH
44115-2704
Practice Phone: 216-431-4600
Practice Fax: 216-431-4601

Directions to “ LISANDRY RODRIGUEZ CDCA” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.