Provider Demographics
NPI:1194535435
Name:RODRIGUEZ, SASHA ANGELICA (MED, LPC-ASSOCIATE)
Entity type:Individual
Prefix:MRS
First Name:SASHA
Middle Name:ANGELICA
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:MED, LPC-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8311 GLENHEATH ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77061-3225
Mailing Address - Country:US
Mailing Address - Phone:713-364-3119
Mailing Address - Fax:
Practice Address - Street 1:817 SOUTHMORE AVE FL 3
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77502-1115
Practice Address - Country:US
Practice Address - Phone:346-514-4604
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-09
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX95140101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health