MEDICARE: MS. RUTH LEILA GROSSMAN LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	MH5938	FL
2	101YM0800X	Mental Health Counselor	MH5938	FL

General Provider Information

NPI Number	:	1609174457
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. RUTH LEILA GROSSMAN LMHC

Provider Business Mailing Address
First Line	:	1829 EAST SANDERLING LANE
Second Line	:
City	:	FT. PIERCE
State	:	FL
Zip	:	34982
Country	:	US
Telephone Number	:	772-924-2992
Fax Number	:

Provider Business Practice Location Address
First Line	:	1829 E SANDERLING LN
Second Line	:
City	:	FORT PIERCE
State	:	FL
Zip	:	34982-8046
Country	:	US
Telephone Number	:	772-924-2992
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/03/2011
Last Update Date	:	04/12/2026

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