Provider Demographics
NPI:1598231037
Name:RUIZ DEAL, MICHELLE DORIS (LPC)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:DORIS
Last Name:RUIZ DEAL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:DORIS
Other - Middle Name:MICHELLE
Other - Last Name:RUIZ-DEAL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC-S
Mailing Address - Street 1:7800 W IH 10 STE 130
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-4765
Mailing Address - Country:US
Mailing Address - Phone:210-622-2877
Mailing Address - Fax:210-641-5805
Practice Address - Street 1:7800 W IH 10 STE 130
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-4765
Practice Address - Country:US
Practice Address - Phone:210-622-2877
Practice Address - Fax:210-641-5805
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-23
Last Update Date:2025-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX77004101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health