Provider Demographics
NPI:1902471857
Name:RAMOS, LISSETTE (LMFT)
Entity type:Individual
Prefix:
First Name:LISSETTE
Middle Name:
Last Name:RAMOS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49 CORTLAND WAY
Mailing Address - Street 2:
Mailing Address - City:NEWINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06111
Mailing Address - Country:US
Mailing Address - Phone:203-605-0540
Mailing Address - Fax:203-238-2010
Practice Address - Street 1:LR PSYCHOTHERAPY WELLNESS LLC
Practice Address - Street 2:314C NEW BRITAIN RD, THE WELLNESS COLLECTIVE
Practice Address - City:BERLIN
Practice Address - State:CT
Practice Address - Zip Code:06037
Practice Address - Country:US
Practice Address - Phone:860-385-4897
Practice Address - Fax:203-238-2010
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-24
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT16551325106H00000X
CT003644106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist