MEDICARE: DIANA RODGERS LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	23209	FL

General Provider Information

NPI Number	:	1033549803
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIANA RODGERS LMHC

Provider Business Mailing Address
First Line	:	2888 MAHAN DR STE 4
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32308-5465
Country	:	US
Telephone Number	:	203-671-9450
Fax Number	:

Provider Business Practice Location Address
First Line	:	2888 MAHAN DR STE 4
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32308-5465
Country	:	US
Telephone Number	:	203-671-9450
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/15/2013
Last Update Date	:	04/02/2026

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