Provider Demographics
NPI:1689880668
Name:RAMIREZ, TANIA (MFT)
Entity Type:Individual
Prefix:MRS
First Name:TANIA
Middle Name:
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9418 SW 225TH ST
Mailing Address - Street 2:
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33190-1796
Mailing Address - Country:US
Mailing Address - Phone:305-558-2480
Mailing Address - Fax:
Practice Address - Street 1:9418 SW 225TH ST
Practice Address - Street 2:
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33190-1796
Practice Address - Country:US
Practice Address - Phone:305-558-2480
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2022-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLIMT678OtherREGISTERED MFT THERAPIST
FL017836000Medicaid