Provider Demographics
NPI:1922404201
Name:RODRIGUEZ BATISTA, PABLO RAMON (MS, LMHC)
Entity type:Individual
Prefix:
First Name:PABLO
Middle Name:RAMON
Last Name:RODRIGUEZ BATISTA
Suffix:
Gender:M
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 SW 96TH TER
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33025-1051
Mailing Address - Country:US
Mailing Address - Phone:305-748-8271
Mailing Address - Fax:
Practice Address - Street 1:5391 NW 36TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33166-5924
Practice Address - Country:US
Practice Address - Phone:786-636-1310
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-13
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH22241101YM0800X
FL390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program