Provider Demographics
NPI:1356469001
Name:RAMIREZ, ELENA
Entity Type:Individual
Prefix:MISS
First Name:ELENA
Middle Name:
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5117 BLACKBERRY WAY
Mailing Address - Street 2:
Mailing Address - City:KEYES
Mailing Address - State:CA
Mailing Address - Zip Code:95328-9784
Mailing Address - Country:US
Mailing Address - Phone:209-226-0142
Mailing Address - Fax:
Practice Address - Street 1:301 E 13TH ST STE A
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95341
Practice Address - Country:US
Practice Address - Phone:209-381-6852
Practice Address - Fax:209-385-3174
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2018-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No171M00000XOther Service ProvidersCase Manager/Care Coordinator