Healthcare Provider Details

I. General information

NPI: 1922937960
Provider Name (Legal Business Name): SONIA RUIZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1825 PINION RD
ELKO NV
89801-8355
US

IV. Provider business mailing address

1825 PINION RD
ELKO NV
89801-8355
US

V. Phone/Fax

Practice location:
  • Phone: 775-738-8021
  • Fax:
Mailing address:
  • Phone: 775-738-8021
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number129916-M
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: