Provider Demographics
NPI:1841643574
Name:RUTH E. BEDSOLE, MA. LPC, LMFT, PLLC
Entity type:Organization
Organization Name:RUTH E. BEDSOLE, MA. LPC, LMFT, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:E
Authorized Official - Last Name:BEDSOLE
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC, LMFT
Authorized Official - Phone:281-242-2595
Mailing Address - Street 1:12946 DAIRY ASHFORD RD
Mailing Address - Street 2:STE 260
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-3161
Mailing Address - Country:US
Mailing Address - Phone:281-242-2595
Mailing Address - Fax:281-242-2595
Practice Address - Street 1:12946 DAIRY ASHFORD RD
Practice Address - Street 2:STE 260
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-3161
Practice Address - Country:US
Practice Address - Phone:281-242-2595
Practice Address - Fax:281-242-2595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-18
Last Update Date:2016-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14491261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1285704221OtherINDIVIDUAL NPI