Provider Demographics
NPI:1578537650
Name:RUIZ, KATHIE HIGGINS (LPC, LMFT)
Entity Type:Individual
Prefix:MRS
First Name:KATHIE
Middle Name:HIGGINS
Last Name:RUIZ
Suffix:
Gender:F
Credentials:LPC, LMFT
Other - Prefix:MRS
Other - First Name:KATHIE
Other - Middle Name:ANN
Other - Last Name:HIGGINS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC, LMFT
Mailing Address - Street 1:1118 FAIRLAWN DR
Mailing Address - Street 2:
Mailing Address - City:DUNCANVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75116-3008
Mailing Address - Country:US
Mailing Address - Phone:214-943-1044
Mailing Address - Fax:214-631-7501
Practice Address - Street 1:1118 FAIRLAWN DR
Practice Address - Street 2:
Practice Address - City:DUNCANVILLE
Practice Address - State:TX
Practice Address - Zip Code:75116-3008
Practice Address - Country:US
Practice Address - Phone:214-943-1044
Practice Address - Fax:214-631-7501
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5340101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health