LICENIA RODRIGUEZ NPI 1043889363

NPI Information

NPI: 1043889363
Provider Name: LICENIA RODRIGUEZ
Classification: Respite Care - 385HR2055X
Entity Type: Individual

Specialization: Respite Care, Mental Illness, Child

Address:
3645 S MONTREAL PL
TUCSON, AZ
ZIP 85730
Phone: (520) 305-7861
Get Directions

Licenia Rodriguez is a respite care and mental illness and child respite care in Tucson, AZ. The provider is a facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers. Licenia Rodriguez NPI is 1043889363. 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:

3645 S MONTREAL PL
TUCSON, AZ
ZIP 85730-223
Phone: (520) 305-7861

The enumeration date for this NPI number is 6/21/2021 and was last updated on 6/21/2021.

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	385HR2055X	Respite Care	Respite Care, Mental Illness, Child	BH6821	ARIZONA	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	BH6821	OTHER	ARIZONA	AZ DEPT OF HEALTH SERVICES

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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