Healthcare Provider Details

I. General information

NPI: 1245364843
Provider Name (Legal Business Name): RUTH B. MARTINEZ ALEMAIN MH, LMHC, CAP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: RUTH B. MARTINEZ LMHC, CAP, CCDVC

II. Dates (important events)

Enumeration Date: 03/15/2007
Last Update Date: 08/16/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 W. BUSCH BLVD STE B
TAMPA FL
33612-7517
US

IV. Provider business mailing address

2001 W. BUSCH BLVD STE B
TAMPA FL
33612-7517
US

V. Phone/Fax

Practice location:
  • Phone: 813-832-2800
  • Fax: 866-832-7603
Mailing address:
  • Phone: 813-832-2800
  • Fax: 866-832-7603

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCHP-4768
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6218
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number00109
License Number StatePR
# 4
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMHC-6218
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: