| Ruby D Counseling Services Llc | |
|
209 Palmetto St Ste 7 Auburndale FL 33823-3426 | |
| (863) 206-4255 | |
| Not Available |
| Full Name | Ruby D Counseling Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 209 Palmetto St Ste 7, Auburndale, Florida |
| Authorized Official Name and Position | Ruby Nash (OWNER) |
| Authorized Official Contact | 8632064255 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ruby D Counseling Services Llc 209 Palmetto St Ste 7 Auburndale FL 33823-3426 Ph: (863) 206-4255 | Ruby D Counseling Services Llc 209 Palmetto St Ste 7 Auburndale FL 33823-3426 Ph: (863) 206-4255 |
| NPI Number | 1265002083 |
|---|---|
| Provider Enumeration Date | 06/25/2021 |
| Last Update Date | 07/02/2021 |
| Certification Date | 07/02/2021 |
| Medicare PECOS PAC ID | 7012365331 |
|---|---|
| Medicare Enrollment ID | O20231128001036 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265002083 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Ruby D Nash |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972857761 PECOS PAC ID: 9830547157 Enrollment ID: I20231128001171 |
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