Provider Demographics
NPI:1356806939
Name:RAMLER, KODY (LCSW)
Entity type:Individual
Prefix:
First Name:KODY
Middle Name:
Last Name:RAMLER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 N LAST CHANCE GULCH
Mailing Address - Street 2:STE 401
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-5015
Mailing Address - Country:US
Mailing Address - Phone:406-459-5733
Mailing Address - Fax:
Practice Address - Street 1:415 N LAST CHANCE GULCH STE 401
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-5015
Practice Address - Country:US
Practice Address - Phone:406-459-5733
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-07
Last Update Date:2020-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTBBH-LCSW-LIC-30230104100000X
MT302301041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker