Provider Demographics
NPI:1114054004
Name:RAMOS, ANGELINA (MS, PLMHP)
Entity Type:Individual
Prefix:
First Name:ANGELINA
Middle Name:
Last Name:RAMOS
Suffix:
Gender:F
Credentials:MS, PLMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8604 S 46TH ST
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:NE
Mailing Address - Zip Code:68157-2622
Mailing Address - Country:US
Mailing Address - Phone:402-614-1978
Mailing Address - Fax:402-933-2061
Practice Address - Street 1:3909 CUMING ST STE 202
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68131-1211
Practice Address - Country:US
Practice Address - Phone:402-933-2060
Practice Address - Fax:402-933-2061
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NEP-7533101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health