Pruitt, Rustee Danielle

Pruitt, Rustee Danielle is an individual health care provider with primary practice located at 4308 S Grand St , Monroe LA 71202-6322. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Pruitt, Rustee Danielle can be contacted via phone (870) 406-0077.

Contact Information

Primary practice address
4308 S Grand St Monroe LA 71202-6322
Phone: (870) 406-0077
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X A1607084 Arkansas
Other Service Providers / Case Manager/Care Coordinator 171M00000X Louisiana

Profile Details

NPI number 1366867525
LBN Legal business name Pruitt, Rustee Danielle
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 25th, 2014
Last updated May 3rd, 2021 - about 4 years ago

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 1366867525 NPPES
Arkansas MEDICAID 116378726

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