Provider Demographics
NPI:1467323840
Name:RODGERS, RASHAD LAJUAN
Entity type:Individual
Prefix:MR
First Name:RASHAD
Middle Name:LAJUAN
Last Name:RODGERS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3600 W BROAD ST APT 240
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23230-4944
Mailing Address - Country:US
Mailing Address - Phone:202-236-4491
Mailing Address - Fax:
Practice Address - Street 1:1600 W LABURNUM AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23227-4416
Practice Address - Country:US
Practice Address - Phone:804-228-5310
Practice Address - Fax:804-262-1501
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-17
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAPPS-0607758101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchoolGroup - Single Specialty