| Mr Gustavo Adolfo Rodriguez, LPC | |
|
3950 N A W Grimes Blvd Ste N104, Round Rock, TX 78665-3540 | |
| (877) 800-5722 | |
| Not Available |
| Full Name | Mr Gustavo Adolfo Rodriguez |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 3950 N A W Grimes Blvd Ste N104, Round Rock, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104043371 | NPI | - | NPPES |
| 174562201 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 18936 (Texas) | Primary |
| Entity Name | Thrive Counseling Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20210706003672 |
| Entity Name | Family Care Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427786482 PECOS PAC ID: 5991064420 Enrollment ID: O20230606000587 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Gustavo Adolfo Rodriguez, LPC 2423 Williams Dr Ste 107, Georgetown, TX 78628-3269 Ph: () - | Mr Gustavo Adolfo Rodriguez, LPC 3950 N A W Grimes Blvd Ste N104, Round Rock, TX 78665-3540 Ph: (877) 800-5722 |
Amanda Papenfus, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1009 N Georgetown St, Round Rock, TX 78664 Phone: 512-255-1720 | |
Rocio Avila-salinas, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 6033 Toscana Trce, Round Rock, TX 78665 Phone: 512-436-3657 | |
Leslie Weinfeld, MAHS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1930 Rawhide Dr, Ste 302, Round Rock, TX 78681 Phone: 512-246-2232 | |
Casey James, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2337 Friarcreek Loop, Round Rock, TX 78664 Phone: 737-999-3007 | |
Diana Lynn Maxwell, LPC ASSOCIATE Counselor Medicare: Not Enrolled in Medicare Practice Location: 402a W Palm Valley Blvd # 184, Round Rock, TX 78664 Phone: 612-239-9982 | |
Miss Iris Elizabeth Hackett, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 N. Ih 35, 315 Pmb 182, Round Rock, TX 78681 Phone: 512-587-7440 Fax: 512-218-4150 | |
Rachel Rainey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8617 Glen Canyon Dr, Round Rock, TX 78681 Phone: 512-560-7159 |