Healthcare Provider Details

I. General information

NPI: 1841946548
Provider Name (Legal Business Name): RUTH'S PLACE COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2022
Last Update Date: 12/31/2025
Certification Date: 12/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

213 MAIN ST STE 205
MATAWAN NJ
07747-3221
US

IV. Provider business mailing address

213 MAIN ST STE 205
MATAWAN NJ
07747-3221
US

V. Phone/Fax

Practice location:
  • Phone: 732-290-5238
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MS. LA SHAUNA RICHARDSON
Title or Position: OWNER
Credential: LCSW
Phone: 732-931-6732