Provider Demographics
NPI:1164798492
Name:OWENS, RUTH LEE (LCAS)
Entity Type:Individual
Prefix:MRS
First Name:RUTH
Middle Name:LEE
Last Name:OWENS
Suffix:
Gender:F
Credentials:LCAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 CENTERVIEW DR. ROCKINGHAM BUILDING SUITE 307
Mailing Address - Street 2:SINGLETON CARE INC.
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27407-3713
Mailing Address - Country:US
Mailing Address - Phone:336-285-7076
Mailing Address - Fax:336-285-7178
Practice Address - Street 1:1 CENTERVIEW DR
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27407-3713
Practice Address - Country:US
Practice Address - Phone:336-285-7176
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-30
Last Update Date:2012-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1770101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)