Provider Demographics
NPI:1841813011
Name:TAYLOR, RUTH (LCSW-S, ACSW)
Entity type:Individual
Prefix:
First Name:RUTH
Middle Name:
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:LCSW-S, ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3239 OZARK ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77021-1132
Mailing Address - Country:US
Mailing Address - Phone:832-651-8145
Mailing Address - Fax:
Practice Address - Street 1:3239 OZARK ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77021-1132
Practice Address - Country:US
Practice Address - Phone:832-651-8145
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-22
Last Update Date:2020-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX054481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical