MEDICARE: DR. DENISE FOURNIER RODRIGUEZ 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	MH-12929	FL

General Provider Information

NPI Number	:	1801287149
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DENISE FOURNIER RODRIGUEZ LMHC

Provider Business Mailing Address
First Line	:	650 NE 32ND ST UNIT 4703
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33137-5269
Country	:	US
Telephone Number	:	305-814-4863
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 NE 36TH ST
Second Line	:	APT 407
City	:	MIAMI
State	:	FL
Zip	:	33137-3929
Country	:	US
Telephone Number	:	954-309-0834
Fax Number	:

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

Provider Enumeration Date	:	02/09/2015
Last Update Date	:	06/16/2021

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