Provider Demographics
NPI:1861207144
Name:RODRIGUEZ, ILEANA ELIZABETH (LPC, NCC)
Entity type:Individual
Prefix:MISS
First Name:ILEANA
Middle Name:ELIZABETH
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1403 W FIG AVE APT 3
Mailing Address - Street 2:
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-4950
Mailing Address - Country:US
Mailing Address - Phone:956-221-0717
Mailing Address - Fax:
Practice Address - Street 1:1403 W FIG AVE APT 3
Practice Address - Street 2:
Practice Address - City:PHARR
Practice Address - State:TX
Practice Address - Zip Code:78577-4950
Practice Address - Country:US
Practice Address - Phone:956-221-0717
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-12
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX85592101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional