Provider Demographics
NPI:1902937337
Name:HOLDEN, RUBY DARNELL (LPC LMFT)
Entity type:Individual
Prefix:MRS
First Name:RUBY
Middle Name:DARNELL
Last Name:HOLDEN
Suffix:
Gender:F
Credentials:LPC LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1103 LAKESIDE DR
Mailing Address - Street 2:
Mailing Address - City:BALLINGER
Mailing Address - State:TX
Mailing Address - Zip Code:76821-4209
Mailing Address - Country:US
Mailing Address - Phone:325-365-3933
Mailing Address - Fax:325-365-3933
Practice Address - Street 1:707 HUTCHINGS AVE
Practice Address - Street 2:
Practice Address - City:BALLINGER
Practice Address - State:TX
Practice Address - Zip Code:76821-5633
Practice Address - Country:US
Practice Address - Phone:325-656-8485
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX003600106H00000X
TX02453101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional