Healthcare Provider Details

I. General information

NPI: 1427960095
Provider Name (Legal Business Name): RUI GUI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1125 MONTGOMERY ST
WEST LAFAYETTE IN
47906-1327
US

IV. Provider business mailing address

1125 MONTGOMERY ST
WEST LAFAYETTE IN
47906-1327
US

V. Phone/Fax

Practice location:
  • Phone: 914-354-9955
  • Fax:
Mailing address:
  • Phone: 914-354-9955
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number33013477A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: