MARY RUTH RODRIGUEZ LPC NPI 1578044335

NPI Information

NPI: 1578044335
Provider Name: MARY RUTH RODRIGUEZ, LPC
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
1512 W GAMBRELL ST
FORT WORTH, TX
ZIP 76115
Phone: (817) 734-5331
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Mary Ruth Rodriguez, LPC is a counselor in Fort Worth, TX. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Mary Ruth Rodriguez, LPC NPI is 1578044335. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1512 W GAMBRELL ST
FORT WORTH, TX
ZIP 76115-207
Phone: (817) 734-5331
Fax: (817) 924-0440

The enumeration date for this NPI number is 8/28/2018 and was last updated on 8/28/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		68990	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	68990	OTHER	TEXAS	STATE BOARD OF EXAMINERS OF PROFESSIONAL COUNSELORS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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