Healthcare Provider Details

I. General information

NPI: 1760310700
Provider Name (Legal Business Name): CAMILA MARIA RUIZ LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

741 US 1
NORTH PALM BEACH FL
33408-4508
US

IV. Provider business mailing address

5130 LAS VERDES CIR APT 112
DELRAY BEACH FL
33484-8002
US

V. Phone/Fax

Practice location:
  • Phone: 561-678-5425
  • Fax:
Mailing address:
  • Phone: 954-610-6976
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH27682
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: