Provider Demographics
NPI:1033341862
Name:RODRIGUEZ, LUANN (PHD, LMFT)
Entity Type:Individual
Prefix:DR
First Name:LUANN
Middle Name:
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:PHD, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18901 SW 106TH AVE STE 108
Mailing Address - Street 2:
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33157-7658
Mailing Address - Country:US
Mailing Address - Phone:786-231-0910
Mailing Address - Fax:786-231-1255
Practice Address - Street 1:18901 SW 106TH AVE
Practice Address - Street 2:SUITE # A-108
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33157-7661
Practice Address - Country:US
Practice Address - Phone:305-283-4701
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-12
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT 2335106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL009605700Medicaid