Healthcare Provider Details

I. General information

NPI: 1558145177
Provider Name (Legal Business Name): KARLI RUGGIERO LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/23/2023
Last Update Date: 08/23/2023
Certification Date: 08/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16560 COMMERCE CT
MIDDLEBURG HEIGHTS OH
44130-6305
US

IV. Provider business mailing address

14678 BOSTON RD
STRONGSVILLE OH
44136-8606
US

V. Phone/Fax

Practice location:
  • Phone: 440-973-7015
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC.1801049
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: