Individual ProviderKelly Ann RodriguezCounselorBehavioral Health & Social Service ProvidersPractice Address420 Highland Ave Ste B1, Cheshire, CT 06410-2527(203) 931-5566PECOS EnrollmentBased on the most recent information from CMS, provider Kelly Ann Rodriguez does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1033510581Provider TypeIndividualFull NameRodriguez, Kelly AnnTitleMrs.CredentialLPCGenderFemaleSole ProprietorNoEnumeration Date9/15/2014Last Updated8/14/2024Contact InformationPractice LocationPractice Address420 Highland Ave Ste B1, Cheshire, CT 06410-2527Phone(203) 931-5566Fax(888) 531-8142Mailing LocationMailing Address420 Highland Ave Ste B1, Cheshire, CT 06410-2527Phone(203) 931-5566Fax(888) 531-8142Provider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense7499Connecticut