Provider Demographics
NPI:1619465325
Name:RAMEY, MIRIKA M (CADC)
Entity Type:Individual
Prefix:
First Name:MIRIKA
Middle Name:M
Last Name:RAMEY
Suffix:
Gender:F
Credentials:CADC
Other - Prefix:
Other - First Name:MIRIKA
Other - Middle Name:M
Other - Last Name:FEDERICO-RAMEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CADC
Mailing Address - Street 1:PO BOX 170
Mailing Address - Street 2:
Mailing Address - City:BRIDGTON
Mailing Address - State:ME
Mailing Address - Zip Code:04009-0170
Mailing Address - Country:US
Mailing Address - Phone:207-647-5629
Mailing Address - Fax:207-647-5620
Practice Address - Street 1:32 N HIGH ST
Practice Address - Street 2:
Practice Address - City:BRIDGTON
Practice Address - State:ME
Practice Address - Zip Code:04009-1125
Practice Address - Country:US
Practice Address - Phone:207-647-5629
Practice Address - Fax:207-647-5620
Is Sole Proprietor?:No
Enumeration Date:2018-04-27
Last Update Date:2018-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECAC5960101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor