| Mental Health With Dr Ruth | |
|
5604 Wesley St Suite 103 Greenville TX 75402-6326 | |
| (903) 274-4140 | |
| (877) 310-9115 |
| Full Name | Mental Health With Dr Ruth |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 5604 Wesley St, Greenville, Texas |
| Authorized Official Name and Position | Ruth R Whitely (OWNER) |
| Authorized Official Contact | 9033554571 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Health With Dr Ruth 5604 Wesley St Suite 103 Greenville TX 75402-6326 Ph: (903) 274-4140 | Mental Health With Dr Ruth 5604 Wesley St Suite 103 Greenville TX 75402-6326 Ph: (903) 274-4140 |
| NPI Number | 1144776956 |
|---|---|
| Provider Enumeration Date | 08/31/2016 |
| Last Update Date | 08/31/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144776956 | NPI | - | NPPES |
| 2808701-01 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 62293 (Texas) | Primary |
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