Provider Demographics
NPI:1548588023
Name:RUE, THOMAS SCOTT (MA, LMHC, CASAC)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:SCOTT
Last Name:RUE
Suffix:
Gender:M
Credentials:MA, LMHC, CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 706
Mailing Address - Street 2:
Mailing Address - City:MONTICELLO
Mailing Address - State:NY
Mailing Address - Zip Code:12701-0706
Mailing Address - Country:US
Mailing Address - Phone:845-513-5002
Mailing Address - Fax:866-428-0282
Practice Address - Street 1:6 PELTON ST
Practice Address - Street 2:STE 2
Practice Address - City:MONTICELLO
Practice Address - State:NY
Practice Address - Zip Code:12701-1908
Practice Address - Country:US
Practice Address - Phone:866-428-0282
Practice Address - Fax:866-428-0282
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-09
Last Update Date:2011-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY10741101YA0400X
NY000461101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)