Provider Demographics
NPI:1972048734
Name:RUTTI COUNSELING & CONSULTATION LLC
Entity Type:Organization
Organization Name:RUTTI COUNSELING & CONSULTATION LLC
Other - Org Name:SUZANNE M. RUTTI, LISW-S
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:CANDICE
Authorized Official - Middle Name:
Authorized Official - Last Name:WEST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-360-8434
Mailing Address - Street 1:1200 WEST 5TH AVENUE
Mailing Address - Street 2:SUITE 102D
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43212-2503
Mailing Address - Country:US
Mailing Address - Phone:614-398-1927
Mailing Address - Fax:614-859-5176
Practice Address - Street 1:1200 WEST 5TH AVENUE
Practice Address - Street 2:SUITE 102D
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43212-2503
Practice Address - Country:US
Practice Address - Phone:614-398-1927
Practice Address - Fax:614-859-5176
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-03
Last Update Date:2021-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.0800234-SUPV251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHH155841Medicare Oscar/Certification