Provider Demographics
NPI:1851150429
Name:GARY 'SKIP' RITTER, PHD., LPCC, LADAC, LLC.
Entity Type:Organization
Organization Name:GARY 'SKIP' RITTER, PHD., LPCC, LADAC, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GARY
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:RITTER
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC, LADAC
Authorized Official - Phone:505-596-0148
Mailing Address - Street 1:5123 LIBRA RD NE
Mailing Address - Street 2:
Mailing Address - City:RIO RANCHO
Mailing Address - State:NM
Mailing Address - Zip Code:87144-5445
Mailing Address - Country:US
Mailing Address - Phone:315-877-3104
Mailing Address - Fax:
Practice Address - Street 1:1453 RIO RANCHO BLVD SE STE 2
Practice Address - Street 2:
Practice Address - City:RIO RANCHO
Practice Address - State:NM
Practice Address - Zip Code:87124-1837
Practice Address - Country:US
Practice Address - Phone:505-596-0148
Practice Address - Fax:505-213-4033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-18
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty