Emily Ruth Fernandez | Valparaiso, IN • PECOS Search

Emily Ruth Fernandez

Counselor

Behavioral Health & Social Service Providers

2005 Valparaiso St Ste 209, Valparaiso, IN 46383-3331

(219) 252-5464 (219) 477-8861

PECOS Enrollment

Based on the most recent information from CMS, provider Emily Ruth Fernandez does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1568108090
Provider Type
Individual
Full Name
Fernandez, Emily Ruth
Title
Mrs.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
5/9/2022
Last Updated
5/9/2022

Contact Information

Practice Location

2005 Valparaiso St Ste 209, Valparaiso, IN 46383-3331

(219) 728-1860

Mailing Location

1603 Firestone Ln Apt C, Valparaiso, IN 46383-5177

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer