Provider Demographics
NPI:1710453493
Name:AMPARO RODRIGUEZ, LPC, LLC
Entity Type:Organization
Organization Name:AMPARO RODRIGUEZ, LPC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMPARO
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:719-271-6702
Mailing Address - Street 1:2385 VANTAGE DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80919-3817
Mailing Address - Country:US
Mailing Address - Phone:719-271-6702
Mailing Address - Fax:
Practice Address - Street 1:1322 N ACADEMY BLVD STE 114D
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80909-3327
Practice Address - Country:US
Practice Address - Phone:719-271-6702
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-19
Last Update Date:2018-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty