Healthcare Provider Details

I. General information

NPI: 1841637642
Provider Name (Legal Business Name): JASMINE RODRIGUEZ M.A., ATR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JASMINE PARKER M.A., ATR

II. Dates (important events)

Enumeration Date: 06/03/2013
Last Update Date: 11/07/2025
Certification Date: 11/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1413 PIPER RD
SPRING HILL FL
34606-4100
US

IV. Provider business mailing address

1413 PIPER RD
SPRING HILL FL
34606-4100
US

V. Phone/Fax

Practice location:
  • Phone: 321-837-9784
  • Fax:
Mailing address:
  • Phone: 505-227-5468
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number20793
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License NumberIMH20793
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number16-292
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: