Provider Demographics
NPI:1306362090
Name:RAMSAY, DIANA (MS, LPCA)
Entity Type:Individual
Prefix:
First Name:DIANA
Middle Name:
Last Name:RAMSAY
Suffix:
Gender:F
Credentials:MS, LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10211 GARMOYLE ST
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-8709
Mailing Address - Country:US
Mailing Address - Phone:561-306-2934
Mailing Address - Fax:
Practice Address - Street 1:17206 LANCASTER HWY STE 504
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-2004
Practice Address - Country:US
Practice Address - Phone:704-341-7401
Practice Address - Fax:704-341-7403
Is Sole Proprietor?:No
Enumeration Date:2017-08-15
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health