| Elisa Rodriguez, LPC | |
|
2204 S Dobson Rd Ste 102, Mesa, AZ 85202-6457 | |
| (602) 230-7373 | |
| Not Available |
| Full Name | Elisa Rodriguez |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 2204 S Dobson Rd Ste 102, Mesa, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376286948 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | LAC-19489 (Arizona) | Secondary |
| 101YP2500X | Counselor - Professional | LPC-22893 (Arizona) | Primary |
| Entity Name | Denova Collaborative Health, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609300854 PECOS PAC ID: 2466437736 Enrollment ID: O20040621001542 |
| Mailing Address | Practice Location Address |
|---|---|
| Elisa Rodriguez, LPC 3101 N Central Ave Ste 550, Phoenix, AZ 85012-2635 Ph: (602) 230-7373 | Elisa Rodriguez, LPC 2204 S Dobson Rd Ste 102, Mesa, AZ 85202-6457 Ph: (602) 230-7373 |
Megan Feeney, MAFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 4250 N. Florian Ave Bldg 1, Mesa, AZ 85206 Phone: 480-969-3800 Fax: 480-644-1557 | |
Elbert Farmer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 32 S Macdonald, Mesa, AZ 85210 Phone: 480-696-1471 Fax: 480-264-0687 | |
Dr. Ronald Earl Clark, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3846 E Dartmouth St, Mesa, AZ 85205 Phone: 480-229-1722 | |
Dr. Lisa Loree Gold, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 6106 E Brown Rd, Suite #102, Mesa, AZ 85205 Phone: 602-550-9393 | |
Mrs. Tracy Kerr Carson, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1830 S Alma School Rd, Suite 112, Mesa, AZ 85210 Phone: 480-730-6222 | |
Roban Kubic, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1845 S Dobson Rd, Suite 104, Mesa, AZ 85202 Phone: 480-403-1651 Fax: 480-874-3767 | |
Eric Felber, M.A., LPC Counselor Medicare: Medicare Enrolled Practice Location: 2204 S Dobson Rd Ste 102, Mesa, AZ 85202 Phone: 602-230-7373 Fax: 480-628-8577 |