Provider Demographics
NPI:1679501407
Name:FARRIS, RUBYE ELIZABETH (LPC, CCAS)
Entity Type:Individual
Prefix:MS
First Name:RUBYE
Middle Name:ELIZABETH
Last Name:FARRIS
Suffix:
Gender:F
Credentials:LPC, CCAS
Other - Prefix:MS
Other - First Name:BETH
Other - Middle Name:H
Other - Last Name:FARRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC, CCAS
Mailing Address - Street 1:PO BOX 412
Mailing Address - Street 2:
Mailing Address - City:CHEROKEE
Mailing Address - State:NC
Mailing Address - Zip Code:28719-0412
Mailing Address - Country:US
Mailing Address - Phone:828-497-4662
Mailing Address - Fax:828-497-5830
Practice Address - Street 1:35 LASER DR
Practice Address - Street 2:
Practice Address - City:SYLVA
Practice Address - State:NC
Practice Address - Zip Code:28779-9347
Practice Address - Country:US
Practice Address - Phone:828-631-4486
Practice Address - Fax:828-631-4487
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2462101Y00000X
NC42101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselor
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6102487Medicaid
NC6005520Medicaid