Ruby, Dylan Marie

Ruby, Dylan Marie is an individual health care provider with primary practice located at 11111 Houze Rd Ste 225 , Roswell GA 30076-5618. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Ruby, Dylan Marie can be contacted via phone (770) 603-0123.

Contact Information

Primary practice address
11111 Houze Rd Ste 225 Roswell GA 30076-5618
Phone: (770) 603-0123
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC011582 Georgia
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC011582 Georgia

Profile Details

NPI number 1790060176
LBN Legal business name Ruby, Dylan Marie
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2011
Last updated Apr 2nd, 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.

Request for update

Popular Providers