Herrera, Ruby

Herrera, Ruby is an sole proprietor health care provider with primary practice located at 785 Anthony Drive , Anthony NM 88021-2671. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Herrera, Ruby can be contacted via phone (575) 882-5100.

Contact Information

Primary practice address
785 Anthony Drive Anthony NM 88021-2671
Fax: (575) 882-1151
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X CTB-2023-0366 New Mexico
Behavioral Health & Social Service Providers / Mental Health 101YM0800X CMH0197301 New Mexico

Profile Details

NPI number 1811351372
LBN Legal business name Herrera, Ruby
Credentials LPCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 11th, 2016
Last updated May 15th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811351372 NPPES
New Mexico MEDICAID 33876576

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