Provider Demographics
NPI:1245364843
Name:MARTINEZ ALEMAIN, RUTH B (MH, LMHC, CAP)
Entity type:Individual
Prefix:MRS
First Name:RUTH
Middle Name:B
Last Name:MARTINEZ ALEMAIN
Suffix:
Gender:F
Credentials:MH, LMHC, CAP
Other - Prefix:MRS
Other - First Name:RUTH
Other - Middle Name:B
Other - Last Name:MARTINEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMHC, CAP, CCDVC
Mailing Address - Street 1:2001 W. BUSCH BLVD
Mailing Address - Street 2:STE B
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33612-7517
Mailing Address - Country:US
Mailing Address - Phone:813-832-2800
Mailing Address - Fax:866-832-7603
Practice Address - Street 1:2001 W. BUSCH BLVD
Practice Address - Street 2:STE B
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-7517
Practice Address - Country:US
Practice Address - Phone:813-832-2800
Practice Address - Fax:866-832-7603
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2019-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCHP-4768101YA0400X
FL6218101YM0800X
PR00109103T00000X
FLMHC-6218101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1061568OtherCBH PROVIDER ID
FL043650770- AMHS INCOtherUHC PRVD ID
FL043650770- AMHS INCOtherCBSA PVD ID
FL162366OtherVALUE OPTIONS PRVD ID