Provider Demographics
NPI:1821769100
Name:RUBY ORCUTT MENTAL HEALTH COUNSELING, PC
Entity Type:Organization
Organization Name:RUBY ORCUTT MENTAL HEALTH COUNSELING, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RUBY
Authorized Official - Middle Name:C
Authorized Official - Last Name:ORCUTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-292-7817
Mailing Address - Street 1:7887 ERIE RD
Mailing Address - Street 2:
Mailing Address - City:DERBY
Mailing Address - State:NY
Mailing Address - Zip Code:14047-9590
Mailing Address - Country:US
Mailing Address - Phone:716-219-0968
Mailing Address - Fax:716-209-3078
Practice Address - Street 1:7887 ERIE RD
Practice Address - Street 2:
Practice Address - City:DERBY
Practice Address - State:NY
Practice Address - Zip Code:14047-9590
Practice Address - Country:US
Practice Address - Phone:716-219-0968
Practice Address - Fax:716-209-3078
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-25
Last Update Date:2021-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty