ROSEANNA RUTLEDGE LMHC NPI 1427412873

NPI Information

NPI: 1427412873
Provider Name: ROSEANNA RUTLEDGE, LMHC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
1208 NW 6TH ST
GAINESVILLE, FL
ZIP 32601
Phone: (352) 379-2829
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ROSEANNA RUTLEDGE, LMHC is a mental health counselor in Gainesville, FL. ROSEANNA RUTLEDGE, LMHC NPI is 1427412873. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1208 NW 6TH ST
GAINESVILLE, FL
ZIP 32601-245
Phone: (352) 379-2829
Fax: (352) 379-2843

The provider's authorized official is Roseanna Rutledge .
The authorized official title is Owner and has the following contact phone number (352) 379-2829.

The enumeration date for this NPI number is 4/12/2016 and was last updated on 4/12/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	MH3166	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Z7891	OTHER		BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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