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NPI Code Detail

MEDICARE: MRS. ALEXANDRIA LYNN RUH LIMHP, LCMHC

MEDICARE: MRS. ALEXANDRIA LYNN RUH LIMHP, LCMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor11924NC
2101YM0800XMental Health Counselor7255TN
3101YM0800XMental Health Counselor10543WI
4101YM0800XMental Health Counselor2587NE

General Provider Information

NPI Number : 1932760683
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ALEXANDRIA LYNN RUH LIMHP, LCMHC
Provider Business Mailing Address
First Line : 5808 M ST
Second Line :
City : OMAHA
State : NE
Zip : 68117-1744
Country : US
Telephone Number : 402-320-9987
Fax Number :
Provider Business Practice Location Address
First Line : 11404 W DODGE RD UNIT 300
Second Line :
City : OMAHA
State : NE
Zip : 68154-2511
Country : US
Telephone Number : 402-898-1113
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2019
Last Update Date : 04/17/2025

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