Healthcare Provider Details

I. General information

NPI: 1922885730
Provider Name (Legal Business Name): BRITTANY SUE RUGE LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BRITTANY SUE ANDERSON

II. Dates (important events)

Enumeration Date: 09/14/2023
Last Update Date: 09/14/2023
Certification Date: 09/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1221 W BEN WHITE BLVD STE 210A
AUSTIN TX
78704-7182
US

IV. Provider business mailing address

3005 S LAMAR BLVD STE. D109 #457
AUSTIN TX
78704
US

V. Phone/Fax

Practice location:
  • Phone: 512-960-4533
  • Fax: 512-887-3970
Mailing address:
  • Phone: 512-270-8068
  • Fax: 512-887-3970

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number105756
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: