Stacey Lyn Ruberg in Marion - Mental Health
Stacey Lyn Ruberg - NPI 1598752347
Stacey Lyn Ruberg is a Mental Health in Marion, Indiana. Stacey Lyn Ruberg practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Stacey Lyn Ruberg is 1598752347. The last update date is 2015-09-29.
Stacey Lyn Ruberg's current location address is 101 S Washington St, Marion, Indiana. You can contact this provider via phone number 7656629971 and fax number 7656516556. The mailing address for Stacey Lyn Ruberg is 101 S Washington St, Marion, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacey Lyn Ruberg |
|---|---|
| Address | 101 S Washington St, Marion, Indiana |
| Phone Number | 7656629971 |
| Fax Number | 7656516556 |
| Sole Proprietor | N |
| Credentials | LMHC |
NPI Number Detail
| NPI Number | 1598752347 |
|---|---|
| Provider Enumeration Date | 2005-10-05 |
| Last Updated Date | 2015-09-29 |
Provider Mailing Address Detail
| Address | 101 S Washington St |
|---|---|
| City | Marion |
| State | Indiana (IN) |
| Post Code | 469523867 |
| Phone Number | 7656629971 |
| Fax Number | 7656516556 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 39001719A |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100124250 | IN | -- |
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What is the Stacey Lyn Ruberg's unique identification number?
The Stacey Lyn Ruberg has been assigned the NPI (National Provider Identifier) Number 1598752347 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Stacey Lyn Ruberg located?
The Stacey Lyn Ruberg is located at 101 S Washington St, Marion, IN 469523867.
What is Stacey Lyn Ruberg's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Stacey Lyn Ruberg is Mental Health, and the corresponding taxonomy classification code for this specialized field is 101Ym0800X.
On what date did the Stacey Lyn Ruberg receive its 1598752347 assignment from the Centers for Medicare & Medicaid Services?
The Stacey Lyn Ruberg was assigned its 1598752347 by the Centers for Medicare & Medicaid Services on 2005-10-05.
As of what date were the Stacey Lyn Ruberg's details last updated?
The information pertaining to the Stacey Lyn Ruberg, including its address, specialty, and other details, was most recently updated on 2015-09-29.