| Ruby Mental Health Pllc | |
|
882 W. 7th Street Unit #1 St. Paul MN 55102 | |
| (651) 442-0783 | |
| Not Available |
| Full Name | Ruby Mental Health Pllc |
|---|---|
| Speciality | Counselor |
| Location | 882 W. 7th Street, St. Paul, Minnesota |
| Authorized Official Name and Position | Brittani Amber Marie Porter (CO-OWNER) |
| Authorized Official Contact | 6514685036 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ruby Mental Health Pllc 882 W. 7th Street Unit #1 St. Paul MN 55102 Ph: (651) 442-0783 | Ruby Mental Health Pllc 882 W. 7th Street Unit #1 St. Paul MN 55102 Ph: (651) 442-0783 |
| NPI Number | 1154136547 |
|---|---|
| Provider Enumeration Date | 02/11/2025 |
| Last Update Date | 02/11/2025 |
| Certification Date | 02/11/2025 |
| Medicare PECOS PAC ID | 3971029273 |
|---|---|
| Medicare Enrollment ID | O20250430000187 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154136547 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Brittani Porter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487971016 PECOS PAC ID: 1355788795 Enrollment ID: I20240321001839 |
| Provider Name | Sara J Bowd |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1154857464 PECOS PAC ID: 9638518178 Enrollment ID: I20240417002460 |
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