Provider Demographics
NPI:1710770524
Name:RODRIGUEZ, LANA ALEXANDRA (LPC)
Entity type:Individual
Prefix:
First Name:LANA
Middle Name:ALEXANDRA
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:LANA
Other - Middle Name:ALEXANDRA
Other - Last Name:RODRIGUEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:3419 LOS LAGOS DR
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78542-5775
Mailing Address - Country:US
Mailing Address - Phone:956-378-2721
Mailing Address - Fax:
Practice Address - Street 1:3419 LOS LAGOS DR
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78542-5775
Practice Address - Country:US
Practice Address - Phone:956-378-2721
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-24
Last Update Date:2025-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX91008101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional