Healthcare Provider Details

I. General information

NPI: 1306090337
Provider Name (Legal Business Name): VERONICA D. RUIZ-ASHWAL L.M.H.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: VERONICA D RUIZ LMHC

II. Dates (important events)

Enumeration Date: 11/04/2008
Last Update Date: 11/03/2025
Certification Date: 11/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3301 COLLEGE AVE
DAVIE FL
33314-7721
US

IV. Provider business mailing address

5001 S UNIVERSITY DR STE G
DAVIE FL
33328-4506
US

V. Phone/Fax

Practice location:
  • Phone: 954-424-6911
  • Fax:
Mailing address:
  • Phone: 954-583-8831
  • Fax: 954-583-9575

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH8397
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: