Provider Demographics
NPI:1558578922
Name:RAMSEY, SHARI (MS,LCPC)
Entity Type:Individual
Prefix:MRS
First Name:SHARI
Middle Name:
Last Name:RAMSEY
Suffix:
Gender:F
Credentials:MS,LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7354 MABELS WAY
Mailing Address - Street 2:
Mailing Address - City:LOVES PARK
Mailing Address - State:IL
Mailing Address - Zip Code:61111-5375
Mailing Address - Country:US
Mailing Address - Phone:815-988-4163
Mailing Address - Fax:
Practice Address - Street 1:5055 SPRING CREEK RD
Practice Address - Street 2:
Practice Address - City:ROCKFORD
Practice Address - State:IL
Practice Address - Zip Code:61114-6325
Practice Address - Country:US
Practice Address - Phone:815-639-9405
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3356-125101YM0800X
IL101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health