Provider Demographics
NPI:1609952936
Name:GUERREIRO, RUTH NOELANI (LCSW)
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:NOELANI
Last Name:GUERREIRO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:RUTH
Other - Middle Name:NOELANI
Other - Last Name:BLACK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5769 BELT LINE RD APT 713
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75254-7676
Mailing Address - Country:US
Mailing Address - Phone:214-608-4448
Mailing Address - Fax:
Practice Address - Street 1:5769 BELT LINE RD APT 713
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75254-7676
Practice Address - Country:US
Practice Address - Phone:214-608-4448
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-30
Last Update Date:2014-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX52813101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health