Organization
TANYA RUIZ, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TANIA RODRIGUES-RUIZ LCSW (SUPERVISOR)
(239) 240-1808
Entity
Organization
Contact information
Practice address
5902 IDA AVE N, LEHIGH ACRES, FL 33971-1411
(239) 240-1808
Mailing address
4006 17TH ST SW, LEHIGH ACRES, FL 33976-3230
(239) 240-1808
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/20/2021
Last updated
09/22/2021
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