Provider Demographics
NPI:1861004186
Name:BARBARA RUSKIN LLC
Entity Type:Organization
Organization Name:BARBARA RUSKIN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:RUSKIN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:248-318-8165
Mailing Address - Street 1:122 BARDEN CT
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48304-2704
Mailing Address - Country:US
Mailing Address - Phone:248-318-8165
Mailing Address - Fax:734-737-0974
Practice Address - Street 1:122 BARDEN CT
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48304-2704
Practice Address - Country:US
Practice Address - Phone:248-318-8165
Practice Address - Fax:734-737-0974
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-18
Last Update Date:2020-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty