MEDICARE: DR. FELISHATEE ARIELLE RODRIGUEZ LPC

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	PC013792	PA

General Provider Information

NPI Number	:	1982346292
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FELISHATEE ARIELLE RODRIGUEZ LPC

Provider Business Mailing Address
First Line	:	6081 HAMILTON BLVD STE 600-745
Second Line	:
City	:	ALLENTOWN
State	:	PA
Zip	:	18106-9801
Country	:	US
Telephone Number	:	610-295-3908
Fax Number	:

Provider Business Practice Location Address
First Line	:	6081 HAMILTON BLVD STE 600-745
Second Line	:
City	:	ALLENTOWN
State	:	PA
Zip	:	18106-9801
Country	:	US
Telephone Number	:	610-295-3908
Fax Number	:	484-245-5380

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

Provider Enumeration Date	:	04/08/2022
Last Update Date	:	07/18/2024

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