Provider Demographics
NPI:1235906355
Name:RAMIREZ, SANTOS (MMFT,LCDC,LMFT)
Entity Type:Individual
Prefix:
First Name:SANTOS
Middle Name:
Last Name:RAMIREZ
Suffix:
Gender:M
Credentials:MMFT,LCDC,LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4639 CORONA DR STE 15
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-5438
Mailing Address - Country:US
Mailing Address - Phone:361-548-2092
Mailing Address - Fax:
Practice Address - Street 1:4639 CORONA DR STE 15
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-5438
Practice Address - Country:US
Practice Address - Phone:361-548-2092
Practice Address - Fax:361-882-1413
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-08
Last Update Date:2023-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty