Healthcare Provider Details

I. General information

NPI: 1083980239
Provider Name (Legal Business Name): RUTH MUGURE OPIYO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/31/2012
Last Update Date: 08/04/2022
Certification Date: 08/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14090 SOUTHWEST FWY STE 300
SUGAR LAND TX
77478-3679
US

IV. Provider business mailing address

14090 SOUTHWEST FWY STE 300
SUGAR LAND TX
77478-3679
US

V. Phone/Fax

Practice location:
  • Phone: 281-729-4884
  • Fax:
Mailing address:
  • Phone: 281-729-4884
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number65
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number20146
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberLPC #20146
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: