Provider Demographics
NPI:1881025922
Name:RUTH BRINKERHOFF COUNSELING AND ASSESSMENT LLC
Entity Type:Organization
Organization Name:RUTH BRINKERHOFF COUNSELING AND ASSESSMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:
Authorized Official - Last Name:BRINKERHOFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-772-3010
Mailing Address - Street 1:11295 CORNERBROOK CT
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-9221
Mailing Address - Country:US
Mailing Address - Phone:775-772-3010
Mailing Address - Fax:
Practice Address - Street 1:180 W HUFFAKER LN
Practice Address - Street 2:SUITE 303
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-2346
Practice Address - Country:US
Practice Address - Phone:775-772-3010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-27
Last Update Date:2014-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV688L101YA0400X
NV32863103TS0200X
NVMI0466106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchoolGroup - Multi-Specialty