Provider Demographics
NPI:1639354889
Name:RAMSEY, JOAN RENEE (PLMHP)
Entity Type:Individual
Prefix:
First Name:JOAN
Middle Name:RENEE
Last Name:RAMSEY
Suffix:
Gender:F
Credentials:PLMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:407 EISENHOWER DR
Mailing Address - Street 2:
Mailing Address - City:GRAND ISLAND
Mailing Address - State:NE
Mailing Address - Zip Code:68803-4126
Mailing Address - Country:US
Mailing Address - Phone:308-379-3177
Mailing Address - Fax:
Practice Address - Street 1:3280 WOODRIDGE BLVD
Practice Address - Street 2:
Practice Address - City:GRAND ISLAND
Practice Address - State:NE
Practice Address - Zip Code:68801-7481
Practice Address - Country:US
Practice Address - Phone:308-382-1764
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-07
Last Update Date:2008-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE8512101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health