Provider Demographics
NPI:1396449856
Name:RAMSEY, SHEMEKA PETTIES
Entity type:Individual
Prefix:
First Name:SHEMEKA
Middle Name:PETTIES
Last Name:RAMSEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9085 MOSS POINT DR
Mailing Address - Street 2:
Mailing Address - City:SOUTHAVEN
Mailing Address - State:MS
Mailing Address - Zip Code:38671-1342
Mailing Address - Country:US
Mailing Address - Phone:662-420-2856
Mailing Address - Fax:
Practice Address - Street 1:9085 MOSS POINT DR
Practice Address - Street 2:
Practice Address - City:SOUTHAVEN
Practice Address - State:MS
Practice Address - Zip Code:38671-1342
Practice Address - Country:US
Practice Address - Phone:662-420-2856
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-29
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor