Provider Demographics
NPI:1801287149
Name:FOURNIER RODRIGUEZ, DENISE (LMHC)
Entity type:Individual
Prefix:DR
First Name:DENISE
Middle Name:
Last Name:FOURNIER RODRIGUEZ
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 1:650 NE 32ND ST UNIT 4703
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33137-5269
Mailing Address - Country:US
Mailing Address - Phone:305-814-4863
Mailing Address - Fax:
Practice Address - Street 1:600 NE 36TH ST
Practice Address - Street 2:APT 407
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33137-3929
Practice Address - Country:US
Practice Address - Phone:954-309-0834
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-09
Last Update Date:2021-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH-12929101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health