Provider Demographics
NPI:1356182380
Name:RUBY REFLECTIONS MENTAL HEALTH LLC
Entity type:Organization
Organization Name:RUBY REFLECTIONS MENTAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OF ENTITY
Authorized Official - Prefix:
Authorized Official - First Name:KEMISOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:EBIETOMIYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-250-1544
Mailing Address - Street 1:548 WESTWOOD WAY DR
Mailing Address - Street 2:
Mailing Address - City:HASLET
Mailing Address - State:TX
Mailing Address - Zip Code:76052-3079
Mailing Address - Country:US
Mailing Address - Phone:469-250-1544
Mailing Address - Fax:469-242-9827
Practice Address - Street 1:548 WESTWOOD WAY DR
Practice Address - Street 2:
Practice Address - City:HASLET
Practice Address - State:TX
Practice Address - Zip Code:76052-3079
Practice Address - Country:US
Practice Address - Phone:469-250-1544
Practice Address - Fax:469-242-9827
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-04
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty