Provider Demographics
NPI:1346134525
Name:RODRIGUEZ, LESLLIE (MS LPC-ASSOCIATE)
Entity type:Individual
Prefix:
First Name:LESLLIE
Middle Name:
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:MS LPC-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13100 WORTHAM CENTER DR
Mailing Address - Street 2:SUITE 358A
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77065-7706
Mailing Address - Country:US
Mailing Address - Phone:346-946-5639
Mailing Address - Fax:832-288-1743
Practice Address - Street 1:13100 WORTHAM CENTER DR STE 358A
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-5635
Practice Address - Country:US
Practice Address - Phone:346-946-5639
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-04
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX98286101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty