# RUACH RENEWAL THERAPY CENTER PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588531370
- **Authorized official:** JACQUELINE M MCINTOSH LMHC (OWNER)
- **Authorized official phone:** (954) 856-0054

## Contact information

- **Practice address:** 2833 NW 91ST AVE, CORAL SPRINGS, FL 33065-5066
- **Practice address phone:** (954) 856-0054
- **Mailing address:** 2833 NW 91ST AVE, CORAL SPRINGS, FL 33065-5066
- **Mailing address phone:** (954) 856-0054

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 10/17/2025
- **Last updated:** 10/17/2025