Provider Demographics
NPI:1679171656
Name:RAMIRO, CHAVELA (MS, LPC)
Entity Type:Individual
Prefix:MRS
First Name:CHAVELA
Middle Name:
Last Name:RAMIRO
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3808 SAWTOOTH DR
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76542-4521
Mailing Address - Country:US
Mailing Address - Phone:330-340-5438
Mailing Address - Fax:
Practice Address - Street 1:3808 SAWTOOTH DR
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76542-4521
Practice Address - Country:US
Practice Address - Phone:330-340-5438
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-13
Last Update Date:2020-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX81176101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional