Healthcare Provider Details

I. General information

NPI: 1588335285
Provider Name (Legal Business Name): ELIZABETH ANN RUEFF
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2021
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2113 GOVERNMENT ST STE I-2C
OCEAN SPRINGS MS
39564-3954
US

IV. Provider business mailing address

2113 GOVERNMENT ST
OCEAN SPRINGS MS
39564-3954
US

V. Phone/Fax

Practice location:
  • Phone: 251-865-7445
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number3426
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: