Provider Demographics
NPI:1063752707
Name:RODRIGUEZ, MEGHAN ELMORE (LMFT)
Entity type:Individual
Prefix:MRS
First Name:MEGHAN
Middle Name:ELMORE
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MS
Other - First Name:MEGHAN
Other - Middle Name:ELMORE
Other - Last Name:RODRIGUEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMFT
Mailing Address - Street 1:2980 SHADY LN
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80126-3218
Mailing Address - Country:US
Mailing Address - Phone:203-910-4882
Mailing Address - Fax:
Practice Address - Street 1:13326 W PROGRESS CIR APT 209
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-4670
Practice Address - Country:US
Practice Address - Phone:203-910-4882
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-17
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001346106H00000X
CO.0001760.106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist