Provider Demographics
NPI:1679459093
Name:RODRIGUEZ RIOS, ALAN
Entity type:Individual
Prefix:
First Name:ALAN
Middle Name:
Last Name:RODRIGUEZ RIOS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:462 ALEC CRST NW
Mailing Address - Street 2:
Mailing Address - City:POWDER SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30127-4244
Mailing Address - Country:US
Mailing Address - Phone:678-576-5404
Mailing Address - Fax:
Practice Address - Street 1:462 ALEC CRST NW
Practice Address - Street 2:
Practice Address - City:POWDER SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30127-4244
Practice Address - Country:US
Practice Address - Phone:678-576-5404
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-12
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health