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NPI Code Detail

MEDICARE: KATHLEEN RODRIGUEZ LMHC

MEDICARE: KATHLEEN RODRIGUEZ LMHC
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
1101YM0800XMental Health CounselorMH16462FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265983233
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN RODRIGUEZ LMHC
Provider Business Mailing Address
First Line : 2553 KONA WAY
Second Line :
City : NAPLES
State : FL
Zip : 34120-5669
Country : US
Telephone Number : 239-273-9855
Fax Number :
Provider Business Practice Location Address
First Line : 2230 VENETIAN CT STE 1
Second Line :
City : NAPLES
State : FL
Zip : 34109-8727
Country : US
Telephone Number : 239-690-6906
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2016
Last Update Date : 06/14/2024

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Directions to “ KATHLEEN RODRIGUEZ LMHC” Practice Location

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