Healthcare Provider Details

I. General information

NPI: 1932035037
Provider Name (Legal Business Name): TATIANNA MONAY RODRIGUEZ APCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

411 BERRY AVE
HAYWARD CA
94544-2326
US

IV. Provider business mailing address

20880 BAKER RD
CASTRO VALLEY CA
94546-5729
US

V. Phone/Fax

Practice location:
  • Phone: 510-581-5626
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number18410
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: