Healthcare Provider Details

I. General information

NPI: 1003722919
Provider Name (Legal Business Name): MELISSA GONZALEZ RODRIGUEZ LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1544 W DOVE AVE
MCALLEN TX
78504-3439
US

IV. Provider business mailing address

1215 ROCOTILLO LN
EDINBURG TX
78539-6088
US

V. Phone/Fax

Practice location:
  • Phone: 956-369-7997
  • Fax: 956-625-0999
Mailing address:
  • Phone: 956-648-8042
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number91326
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: