Provider Demographics
NPI:1326566688
Name:HARBIN, RUTH (LMSW)
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:
Last Name:HARBIN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:RUTH
Other - Middle Name:
Other - Last Name:WOODALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:2315 N MAIN ST STE 211C
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29621-3880
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2315 N MAIN ST STE 211C
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29621-3880
Practice Address - Country:US
Practice Address - Phone:864-437-9482
Practice Address - Fax:864-642-6345
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-06
Last Update Date:2017-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC9444104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker