Provider Demographics
NPI:1629367743
Name:RAMSEY, ANGIE (MS, LPC CANDIDATE)
Entity Type:Individual
Prefix:
First Name:ANGIE
Middle Name:
Last Name:RAMSEY
Suffix:
Gender:F
Credentials:MS, LPC CANDIDATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1428 N 38TH ST
Mailing Address - Street 2:
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72904-6917
Mailing Address - Country:US
Mailing Address - Phone:479-221-2167
Mailing Address - Fax:
Practice Address - Street 1:1428 N 38TH ST
Practice Address - Street 2:
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72904-6917
Practice Address - Country:US
Practice Address - Phone:479-221-2167
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-29
Last Update Date:2015-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No171M00000XOther Service ProvidersCase Manager/Care Coordinator