Provider Demographics
NPI:1124440763
Name:RUBY HILL MARRIAGE AND FAMILY COUNSELING CTR.
Entity type:Organization
Organization Name:RUBY HILL MARRIAGE AND FAMILY COUNSELING CTR.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:W
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:MFT
Authorized Official - Phone:925-998-3392
Mailing Address - Street 1:4460 BLACK AVE.
Mailing Address - Street 2:STE. G.
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94566-6139
Mailing Address - Country:US
Mailing Address - Phone:925-426-1575
Mailing Address - Fax:925-426-1575
Practice Address - Street 1:4460 BLACK AVE.
Practice Address - Street 2:SUITE G
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94566-6139
Practice Address - Country:US
Practice Address - Phone:925-426-1575
Practice Address - Fax:925-426-1575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-16
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty