Provider Demographics
NPI:1336940154
Name:RODRIGUEZ, EILEEN (NBC-HWC)
Entity type:Individual
Prefix:
First Name:EILEEN
Middle Name:
Last Name:RODRIGUEZ
Suffix:
Gender:
Credentials:NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1241 CRAWFORD DR
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-2442
Mailing Address - Country:US
Mailing Address - Phone:406-294-5185
Mailing Address - Fax:406-259-5259
Practice Address - Street 1:1241 CRAWFORD DR
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-2442
Practice Address - Country:US
Practice Address - Phone:406-294-5185
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-19
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT3932155171400000X
MT171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach