Provider Demographics
NPI:1942182191
Name:GREEN, RUTH ANN (RMHCI)
Entity type:Individual
Prefix:
First Name:RUTH
Middle Name:ANN
Last Name:GREEN
Suffix:
Gender:F
Credentials:RMHCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 NW 75TH ST STE 1
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32607-6665
Mailing Address - Country:US
Mailing Address - Phone:352-922-3676
Mailing Address - Fax:
Practice Address - Street 1:101 NW 75TH ST STE 1
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32607-6665
Practice Address - Country:US
Practice Address - Phone:352-922-3676
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-21
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH28129101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health