Provider Demographics
NPI:1396406203
Name:KYLE, RUTH S (LPC - ASSOCIATE)
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:S
Last Name:KYLE
Suffix:
Gender:F
Credentials:LPC - ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1121 SHELDON DR
Mailing Address - Street 2:
Mailing Address - City:ANNA
Mailing Address - State:TX
Mailing Address - Zip Code:75409-0406
Mailing Address - Country:US
Mailing Address - Phone:972-325-8123
Mailing Address - Fax:
Practice Address - Street 1:1121 SHELDON DR
Practice Address - Street 2:
Practice Address - City:ANNA
Practice Address - State:TX
Practice Address - Zip Code:75409-0406
Practice Address - Country:US
Practice Address - Phone:972-325-8123
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-03
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX84246101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health