Provider Demographics
NPI:1972857761
Name:NASH, RUBY D (LMHC)
Entity type:Individual
Prefix:
First Name:RUBY
Middle Name:D
Last Name:NASH
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:RUBY
Other - Middle Name:DIANE
Other - Last Name:HOWELL
Other - Suffix:I
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:110 W POLK ST UNIT B
Mailing Address - Street 2:
Mailing Address - City:AUBURNDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33823-3428
Mailing Address - Country:US
Mailing Address - Phone:863-968-6659
Mailing Address - Fax:
Practice Address - Street 1:110 W POLK ST UNIT B
Practice Address - Street 2:
Practice Address - City:AUBURNDALE
Practice Address - State:FL
Practice Address - Zip Code:33823-3428
Practice Address - Country:US
Practice Address - Phone:863-968-6659
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-01
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH16880101YM0800X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty