Donjha Renee Rodriguez-Maddox, LPC-A

Individual provider Active NPI Mental Health Counselor · Atascocita, TX

NPI 1013781632 · NPPES record last updated Nov 14, 2023

Key facts

NPI
1013781632
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
86732 (TX)
Practice address
18918 Timbers Dr
Atascocita, TX 77346-2686
Phone
(713) 269-2631
NPI assigned
Nov 14, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
86732TXMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 86732 TX Yes

Addresses

Primary practice location

18918 Timbers Dr
Atascocita, TX 77346-2686

Mailing address

18918 Timbers Dr
Atascocita, TX 77346-2686
Phone (713) 269-2631

Other providers in Atascocita, TX

All providers in Atascocita, TX · Mental Health Counselor in Texas

Sources for this page

Verify at the official NPI Registry.