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Kelly Ann Rodriguez

Counselor

Behavioral Health & Social Service Providers

420 Highland Ave Ste B1, Cheshire, CT 06410-2527

PECOS Enrollment

This provider is enrolled in PECOS as KELLY RODRIGUEZ.

Based on the most recent information from CMS, provider Kelly Ann Rodriguez is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1033510581
Provider Type
Individual
Full Name
Rodriguez, Kelly Ann
Title
Mrs.
Credential
LPC

Gender
Female
Sole Proprietor
No
Enumeration Date
9/15/2014
Last Updated
8/14/2024

Contact Information

Practice Location

420 Highland Ave Ste B1, Cheshire, CT 06410-2527

(203) 931-5566

(888) 531-8142

Mailing Location

420 Highland Ave Ste B1, Cheshire, CT 06410-2527

(203) 931-5566

(888) 531-8142

Provider Taxonomies

Code	Description	License
Code 101YP2500X Primary	Description Counselor Behavioral Health & Social Service Providers	License 7499 Connecticut

Kelly Ann Rodriguez

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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