Provider Demographics
NPI:1669117503
Name:RODRIGUEZ JIMENEZ, MARIA ANGELA (LMHC)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:ANGELA
Last Name:RODRIGUEZ JIMENEZ
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1867 2ND AVE APT 2B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-7414
Mailing Address - Country:US
Mailing Address - Phone:786-702-2901
Mailing Address - Fax:
Practice Address - Street 1:1280 LEXINGTON AVE FRNT 2
Practice Address - Street 2:#1254
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028
Practice Address - Country:US
Practice Address - Phone:786-702-2901
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-04
Last Update Date:2025-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health