Provider Demographics
NPI:1285203661
Name:SHERI RODRIGUEZ & ASSOCIATES THERAPY
Entity Type:Organization
Organization Name:SHERI RODRIGUEZ & ASSOCIATES THERAPY
Other - Org Name:SHERI RODRIGUEZ, LMSW, ACSW, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SHERI DEE
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:616-260-3559
Mailing Address - Street 1:1515 LANCASHIRE DR SE
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49508-2534
Mailing Address - Country:US
Mailing Address - Phone:616-260-3559
Mailing Address - Fax:
Practice Address - Street 1:1515 LANCASHIRE DR SE
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49508-2534
Practice Address - Country:US
Practice Address - Phone:616-260-3559
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-21
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty