Provider Demographics
NPI:1669058152
Name:RODRIGUEZ, ASHLEY MICHELLE
Entity type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:MICHELLE
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17623 NORTHHAGEN DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-1649
Mailing Address - Country:US
Mailing Address - Phone:713-545-4080
Mailing Address - Fax:
Practice Address - Street 1:18506 GREEN LAND WAY STE A
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-5128
Practice Address - Country:US
Practice Address - Phone:713-316-9081
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-23
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health