Provider Demographics
NPI:1922345933
Name:RAMSEY, TONYA G (MS, LPC, CSAC)
Entity Type:Individual
Prefix:
First Name:TONYA
Middle Name:G
Last Name:RAMSEY
Suffix:
Gender:F
Credentials:MS, LPC, CSAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 GARDEN LANE
Mailing Address - Street 2:SUITE 106
Mailing Address - City:BELOIT
Mailing Address - State:WI
Mailing Address - Zip Code:53511-6168
Mailing Address - Country:US
Mailing Address - Phone:608-302-6194
Mailing Address - Fax:608-509-4348
Practice Address - Street 1:250 GARDEN LN
Practice Address - Street 2:STE 106
Practice Address - City:BELOIT
Practice Address - State:WI
Practice Address - Zip Code:53511-6168
Practice Address - Country:US
Practice Address - Phone:608-302-6194
Practice Address - Fax:608-509-4348
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-10
Last Update Date:2017-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI15882-132101YA0400X
WI5390-125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI100027721Medicaid