Provider Demographics
NPI:1003949165
Name:RAMIREZ, TAMMY M (MA, LPC)
Entity type:Individual
Prefix:MRS
First Name:TAMMY
Middle Name:M
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8016 THOMASVILLE CT
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27612-7440
Mailing Address - Country:US
Mailing Address - Phone:919-510-0611
Mailing Address - Fax:
Practice Address - Street 1:401 E WHITAKER MILL RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27608-2631
Practice Address - Country:US
Practice Address - Phone:919-857-9115
Practice Address - Fax:919-856-5674
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4815101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional