Healthcare Provider Details

I. General information

NPI: 1780291740
Provider Name (Legal Business Name): A'JYANA RODGERS LPC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/24/2020
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1148 W PIONEER PKWY STE B
ARLINGTON TX
76013-6385
US

IV. Provider business mailing address

925 FIERO DR
ARLINGTON TX
76001-7456
US

V. Phone/Fax

Practice location:
  • Phone: 682-405-7689
  • Fax:
Mailing address:
  • Phone: 817-933-9938
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number101152
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: