Provider Demographics
NPI:1356093819
Name:RODRIGUEZ GARCIA, DANIEL (LMHC)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:RODRIGUEZ GARCIA
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1202 SALZEDO ST APT 4
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-3224
Mailing Address - Country:US
Mailing Address - Phone:786-768-9025
Mailing Address - Fax:
Practice Address - Street 1:5757 WATERFORD DISTRICT DR STE 172
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-2076
Practice Address - Country:US
Practice Address - Phone:786-353-2616
Practice Address - Fax:786-524-2880
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-25
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0101179101YA0400X
FL0000202101YA0400X
FLCBHCM103991251B00000X
FLMH23929101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No251B00000XAgenciesCase Management