Healthcare Provider Details

I. General information

NPI: 1194535435
Provider Name (Legal Business Name): SASHA ANGELICA RODRIGUEZ M.ED., LPC-ASSOCIATE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/09/2025
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

817 SOUTHMORE AVE FL 3
PASADENA TX
77502-1115
US

IV. Provider business mailing address

8311 GLENHEATH ST
HOUSTON TX
77061-3225
US

V. Phone/Fax

Practice location:
  • Phone: 346-514-4604
  • Fax:
Mailing address:
  • Phone: 713-364-3119
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number95140
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: