MRS. SANDRA FAYE RODRIGUEZ LLPC - NPI 1750988382

Q: What is Sandra Rodriguez's NPI number?

The NPI number for Sandra Rodriguez is 1750988382. It was assigned to this individual provider in the NPPES registry on October 6, 2020.

Q: What is Sandra Rodriguez's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Sandra Rodriguez was last updated on August 21, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mrs. Sandra Faye Rodriguez Llpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. SANDRA FAYE RODRIGUEZ LLPC (NPI 1750988382) is an individual professional provider in Grand Rapids, Michigan, licensed in Michigan (6401018420) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1750988382

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMRS. SANDRA FAYE RODRIGUEZCredential: LLPC

Location Address1939 DIVISION AVE. SGrand Rapids, MI 49507

Mailing Address1939 Division Ave. SGrand Rapids, MI 49507 · (616) 247-3815 · Fax (616) 245-0450

Phone(616) 247-3815

Fax(616) 245-0450

Sole ProprietorNo

Enumeration DateOctober 6, 2020

Last NPPES UpdateAugust 21, 20242 updates tracked since enumeration

NPPES CertifiedOctober 6, 2020

✔ NPI 1750988382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in MI · 6401018420

1939 DIVISION AVE. S, Grand Rapids, MI 49507

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Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAUREN BREANNE HUISMAN-WOY LMSW

Social Worker (Clinical)