Provider Demographics
NPI:1598974644
Name:RUELL, ERIN G (LMHC, LLC)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:G
Last Name:RUELL
Suffix:
Gender:F
Credentials:LMHC, LLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5853 POST RD STE 202A
Mailing Address - Street 2:
Mailing Address - City:EAST GREENWICH
Mailing Address - State:RI
Mailing Address - Zip Code:02818-2100
Mailing Address - Country:US
Mailing Address - Phone:617-620-1072
Mailing Address - Fax:
Practice Address - Street 1:5853 POST RD STE 202A
Practice Address - Street 2:
Practice Address - City:EAST GREENWICH
Practice Address - State:RI
Practice Address - Zip Code:02818-2100
Practice Address - Country:US
Practice Address - Phone:617-620-1072
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2024-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5742101YM0800X
RIMHC01118101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health