Provider Demographics
NPI:1912559550
Name:THE COUNSELING OFFICE OF DR. DEBBIE RITTERBUSH PHD
Entity Type:Organization
Organization Name:THE COUNSELING OFFICE OF DR. DEBBIE RITTERBUSH PHD
Other - Org Name:START MOVING-ON COUNSELING AND TRAUMA CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:RITTERBUSH
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:928-910-5145
Mailing Address - Street 1:914 E GURLEY ST STE 200
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT
Mailing Address - State:AZ
Mailing Address - Zip Code:86301-3245
Mailing Address - Country:US
Mailing Address - Phone:928-910-5145
Mailing Address - Fax:800-948-8058
Practice Address - Street 1:914 E GURLEY ST STE 200
Practice Address - Street 2:
Practice Address - City:PRESCOTT
Practice Address - State:AZ
Practice Address - Zip Code:86301-3245
Practice Address - Country:US
Practice Address - Phone:928-910-5145
Practice Address - Fax:800-948-8058
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-14
Last Update Date:2019-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
No251B00000XAgenciesCase Management
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental HealthGroup - Single Specialty