Provider Demographics
NPI:1437425337
Name:RUELAS, RITA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:RITA
Middle Name:
Last Name:RUELAS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 E SAN ANTONIO AVE
Mailing Address - Street 2:SUITE 311
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79901-2419
Mailing Address - Country:US
Mailing Address - Phone:915-546-2275
Mailing Address - Fax:
Practice Address - Street 1:500 E SAN ANTONIO AVE RM 311
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79901-2435
Practice Address - Country:US
Practice Address - Phone:915-549-0977
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-26
Last Update Date:2012-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX075071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical