Provider Demographics
NPI:1982429817
Name:ERIN G. RUELL, LMHC LLC
Entity type:Organization
Organization Name:ERIN G. RUELL, LMHC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LLC
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:RUELL
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:617-620-1072
Mailing Address - Street 1:53 ELDREDGE AVE
Mailing Address - Street 2:
Mailing Address - City:EAST GREENWICH
Mailing Address - State:RI
Mailing Address - Zip Code:02818-3339
Mailing Address - Country:US
Mailing Address - Phone:
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:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-16
Last Update Date:2024-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)