Provider Demographics
NPI:1255482717
Name:WARD, RUTHANN LEONE (LMHC)
Entity Type:Individual
Prefix:
First Name:RUTHANN
Middle Name:LEONE
Last Name:WARD
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3330 ATLANTA ST
Mailing Address - Street 2:#14-F
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-3100
Mailing Address - Country:US
Mailing Address - Phone:305-231-8787
Mailing Address - Fax:305-232-8827
Practice Address - Street 1:2999 NE 191ST ST
Practice Address - Street 2:SUITE #702
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-3123
Practice Address - Country:US
Practice Address - Phone:305-231-8787
Practice Address - Fax:330-523-1882
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH2482101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health