Provider Demographics
NPI:1134767098
Name:RAMONA SKRIIKO LLC
Entity type:Organization
Organization Name:RAMONA SKRIIKO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAMONA
Authorized Official - Middle Name:
Authorized Official - Last Name:SKRIIKO
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:330-651-2555
Mailing Address - Street 1:1675 W WESTERN RESERVE RD UNIT 6A
Mailing Address - Street 2:
Mailing Address - City:POLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44514-4510
Mailing Address - Country:US
Mailing Address - Phone:330-651-2555
Mailing Address - Fax:
Practice Address - Street 1:1891 NILES CORTLAND RD NE
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44484-1058
Practice Address - Country:US
Practice Address - Phone:330-651-2555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-11
Last Update Date:2019-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty