Provider Demographics
NPI:1558529578
Name:RODRIGUEZ, ARACELYS (MS, CMHP)
Entity Type:Individual
Prefix:
First Name:ARACELYS
Middle Name:
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:MS, CMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:823 W CENTRAL BLVD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32805-1808
Mailing Address - Country:US
Mailing Address - Phone:407-836-8859
Mailing Address - Fax:
Practice Address - Street 1:1703 W COLONIAL DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32804-7000
Practice Address - Country:US
Practice Address - Phone:407-422-0880
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-27
Last Update Date:2008-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor