Provider Demographics
NPI:1508489360
Name:RAMANI, KAVITHA M (MA, LMFT)
Entity Type:Individual
Prefix:
First Name:KAVITHA
Middle Name:M
Last Name:RAMANI
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:KAVITA
Other - Middle Name:M
Other - Last Name:RAMANI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA, LMFT
Mailing Address - Street 1:499 RIO GRAND CT
Mailing Address - Street 2:
Mailing Address - City:MORGAN HILL
Mailing Address - State:CA
Mailing Address - Zip Code:95037-3112
Mailing Address - Country:US
Mailing Address - Phone:408-429-5675
Mailing Address - Fax:
Practice Address - Street 1:499 RIO GRAND CT
Practice Address - Street 2:
Practice Address - City:MORGAN HILL
Practice Address - State:CA
Practice Address - Zip Code:95037-3112
Practice Address - Country:US
Practice Address - Phone:408-429-5675
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-27
Last Update Date:2020-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC119188101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty