Provider Demographics
NPI:1548601487
Name:RUFFING, OLIVIA MARIE (MA, LPC, NCC, ICAADC)
Entity type:Individual
Prefix:MS
First Name:OLIVIA
Middle Name:MARIE
Last Name:RUFFING
Suffix:
Gender:F
Credentials:MA, LPC, NCC, ICAADC
Other - Prefix:MS
Other - First Name:OLIVIA
Other - Middle Name:MARIE
Other - Last Name:CLINE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LPC
Mailing Address - Street 1:40690 REISA LN APT 201
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48188-1380
Mailing Address - Country:US
Mailing Address - Phone:734-258-0698
Mailing Address - Fax:734-423-0233
Practice Address - Street 1:40690 REISA LN APT 201
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48188-1380
Practice Address - Country:US
Practice Address - Phone:734-258-0698
Practice Address - Fax:734-423-0233
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-08
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401014927101Y00000X, 101YM0800X, 101YP2500X
WAMHC.LH.61652505101Y00000X, 101YM0800X, 101YP2500X
MIC03439101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1548601487Medicaid