Healthcare Provider Details

I. General information

NPI: 1356259998
Provider Name (Legal Business Name): RUACH MENTAL HEALTH AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 08/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

445 E FM SUITE 3-211
CEDAR HILL TX
75104
US

IV. Provider business mailing address

445 E FM SUITE 3-211
CEDAR HILL TX
75104
US

V. Phone/Fax

Practice location:
  • Phone: 945-347-9266
  • Fax: 945-347-9266
Mailing address:
  • Phone: 945-347-9266
  • Fax: 945-347-9266

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: JESSICA KAILONE HUGHES
Title or Position: OWNER
Credential: LCSW
Phone: 945-347-9266