Provider Demographics
NPI:1558149344
Name:GARCIA RAMIREZ, MARIA (LPC MHSP)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:GARCIA RAMIREZ
Suffix:
Gender:F
Credentials:LPC MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8562 AUSTIN PEAY HWY
Mailing Address - Street 2:
Mailing Address - City:MILLINGTON
Mailing Address - State:TN
Mailing Address - Zip Code:38053-5630
Mailing Address - Country:US
Mailing Address - Phone:901-317-5532
Mailing Address - Fax:
Practice Address - Street 1:8562 AUSTIN PEAY HIGHWAY
Practice Address - Street 2:
Practice Address - City:MILLINGTON
Practice Address - State:TN
Practice Address - Zip Code:38053
Practice Address - Country:US
Practice Address - Phone:901-290-3717
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-21
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN6659101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health