Healthcare Provider Details

I. General information

NPI: 1255283107
Provider Name (Legal Business Name): AMILIA RODRIGUEZ LMFT #157876
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/12/2026
Last Update Date: 02/14/2026
Certification Date: 02/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

406 CORTLAND AVE
SAN FRANCISCO CA
94110-5538
US

IV. Provider business mailing address

1400 FLORIBUNDA AVE APT 109
BURLINGAME CA
94010-3885
US

V. Phone/Fax

Practice location:
  • Phone: 707-217-4222
  • Fax:
Mailing address:
  • Phone: 707-217-4222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number157876
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: