Healthcare Provider Details

I. General information

NPI: 1780224527
Provider Name (Legal Business Name): RUTH ESLINGER LPC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/09/2020
Last Update Date: 04/18/2025
Certification Date: 04/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 BRACKEN ST
SANFORD NC
27330-3925
US

IV. Provider business mailing address

321 MERIDIAN XING
SANFORD NC
27330-6955
US

V. Phone/Fax

Practice location:
  • Phone: 910-352-8709
  • Fax:
Mailing address:
  • Phone: 910-352-8709
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number16123
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: