Rodriquez Thomas

Individual provider Active NPI Mental Health Counselor · Springhill, LA

NPI 1699217240 · NPPES record last updated Nov 14, 2016

Key facts

NPI
1699217240
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
300 Williams St
Springhill, LA 71075-4142
Phone
(318) 707-2655
NPI assigned
Nov 14, 2016
Sex
Male
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

Interoperability endpoints

  • Direct secure messaging: communityenrichmentprogramsllc.rodriquezthomas@131877.advancedmd-direct.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

300 Williams St
Springhill, LA 71075-4142

Mailing address

300 Williams St
Springhill, LA 71075-4142
Phone (318) 707-2655

Other providers in Springhill, LA

All providers in Springhill, LA · Mental Health Counselor in Louisiana

Sources for this page

Verify at the official NPI Registry.