Provider Demographics
NPI:1841971272
Name:RODRIGUEZ, ANAIZ MARIE I (MED)
Entity type:Individual
Prefix:
First Name:ANAIZ
Middle Name:MARIE
Last Name:RODRIGUEZ
Suffix:I
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:ANAIZ
Other - Middle Name:MARIE
Other - Last Name:KENDRIX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MED
Mailing Address - Street 1:101 N LYNNHAVEN RD STE 308
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452-7523
Mailing Address - Country:US
Mailing Address - Phone:757-222-4944
Mailing Address - Fax:
Practice Address - Street 1:101 N LYNNHAVEN RD STE 308
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-7523
Practice Address - Country:US
Practice Address - Phone:757-222-4944
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-27
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional