Provider Demographics
NPI:1700693819
Name:RODRIGUEZ AMARO, LIZZBETH NATALIE
Entity type:Individual
Prefix:
First Name:LIZZBETH
Middle Name:NATALIE
Last Name:RODRIGUEZ AMARO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2428 ELLS RD SW
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35803-2596
Mailing Address - Country:US
Mailing Address - Phone:256-457-7557
Mailing Address - Fax:
Practice Address - Street 1:810 SHONEY DR SW STE 120
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-5450
Practice Address - Country:US
Practice Address - Phone:256-883-3231
Practice Address - Fax:256-883-9577
Is Sole Proprietor?:No
Enumeration Date:2024-12-12
Last Update Date:2024-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALALC05025101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health