Provider Demographics
NPI:1093199440
Name:RODRIGUES, CLAUDIA R (LMHC)
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:R
Last Name:RODRIGUES
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:511 NW 36TH AVE
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33442-8023
Mailing Address - Country:US
Mailing Address - Phone:954-592-5296
Mailing Address - Fax:
Practice Address - Street 1:511 NW 36TH AVE
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33442-8023
Practice Address - Country:US
Practice Address - Phone:954-592-5296
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-15
Last Update Date:2016-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH12578101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health