| Roche And Rodriguez Mental Health Counseling, Pllc | |
|
5500 Main St Ste 202 Williamsville NY 14221-6737 | |
| (716) 574-9587 | |
| Not Available |
| Full Name | Roche And Rodriguez Mental Health Counseling, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 5500 Main St Ste 202, Williamsville, New York |
| Authorized Official Name and Position | Heidi Susan Rodriguez (OWNER) |
| Authorized Official Contact | 7165749587 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Roche And Rodriguez Mental Health Counseling, Pllc 5500 Main St Ste 202 Williamsville NY 14221-6737 Ph: (716) 940-5185 | Roche And Rodriguez Mental Health Counseling, Pllc 5500 Main St Ste 202 Williamsville NY 14221-6737 Ph: (716) 574-9587 |
| NPI Number | 1821637711 |
|---|---|
| Provider Enumeration Date | 12/26/2019 |
| Last Update Date | 11/07/2023 |
| Certification Date | 11/07/2023 |
| Medicare PECOS PAC ID | 7618324609 |
|---|---|
| Medicare Enrollment ID | O20240530000544 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821637711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Heidi S. Rodriguez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518136571 PECOS PAC ID: 4284961723 Enrollment ID: I20240530000616 |
| Provider Name | Christopher Roche |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376904722 PECOS PAC ID: 4688016090 Enrollment ID: I20240530000751 |
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