Provider Demographics
NPI:1558055707
Name:RODRIGUEZ, LOUISA MARIE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:LOUISA
Middle Name:MARIE
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:LOUISA
Other - Middle Name:MARIE
Other - Last Name:FLORES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:6015 MARBLE CAVERNS
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78222-4467
Mailing Address - Country:US
Mailing Address - Phone:210-852-0761
Mailing Address - Fax:
Practice Address - Street 1:6015 MARBLE CAVERNS
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78222-4467
Practice Address - Country:US
Practice Address - Phone:210-852-0761
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-08
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX86916101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional