Healthcare Provider Details

I. General information

NPI: 1215823976
Provider Name (Legal Business Name): RUTH SAUNDERS
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2025
Last Update Date: 06/17/2025
Certification Date: 06/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5540 FALMOUTH ST STE 100
RICHMOND VA
23230-1800
US

IV. Provider business mailing address

5540 FALMOUTH ST STE 100
RICHMOND VA
23230-1800
US

V. Phone/Fax

Practice location:
  • Phone: 804-665-4681
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701015009
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: