MEDICARE: RODRIGUEZ PROFESSIONAL COUNSELING SERVICES PLLC

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
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1588358105
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RODRIGUEZ PROFESSIONAL COUNSELING SERVICES PLLC

Provider Business Mailing Address
First Line	:	17711 SUGAR MAGNOLIA LN
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77379-1643
Country	:	US
Telephone Number	:	956-249-1485
Fax Number	:

Provider Business Practice Location Address
First Line	:	10330 LAKE RD STE R
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070-1886
Country	:	US
Telephone Number	:	346-200-6260
Fax Number	:

Authorized Official
Title or Position	:	OWNER/ DIRECTOR OF MENTAL HEALTH
Name	:	MRS. SARAH RODRIGUEZ
Credential	:	LPC
Telephone Number	:	346-200-6260

Provider Enumeration Date	:	06/06/2023
Last Update Date	:	09/17/2024

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