Healthcare Provider Details

I. General information

NPI: 1467851675
Provider Name (Legal Business Name): LINDA MARIA RODRIGUEZ LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS LINDA MARIA RODRIGUEZ

II. Dates (important events)

Enumeration Date: 08/14/2014
Last Update Date: 05/21/2025
Certification Date: 05/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9408 SW 87TH AVE STE 102
MIAMI FL
33176-2416
US

IV. Provider business mailing address

22790 SW 112TH AVE
MIAMI FL
33170-7602
US

V. Phone/Fax

Practice location:
  • Phone: 833-769-3524
  • Fax:
Mailing address:
  • Phone: 305-235-2616
  • Fax: 305-235-6178

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberA12505
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH18958
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: