Provider Demographics
NPI:1497103030
Name:RAMSEY, ROBYN C (LCSW)
Entity type:Individual
Prefix:MS
First Name:ROBYN
Middle Name:C
Last Name:RAMSEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:ROBYN
Other - Middle Name:COOPER
Other - Last Name:RAMSEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:8045 BIG BEND BLVD BALANCE LIFE COUNSELING AND CONSULT
Mailing Address - Street 2:SUITE 109
Mailing Address - City:ST LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63119-2709
Mailing Address - Country:US
Mailing Address - Phone:314-800-0311
Mailing Address - Fax:314-228-0367
Practice Address - Street 1:8045 BIG BEND BLVD BALANCE LIFE COUNSELING AND CONSULT
Practice Address - Street 2:SUITE 109
Practice Address - City:ST LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63119-2709
Practice Address - Country:US
Practice Address - Phone:314-800-0311
Practice Address - Fax:314-228-0367
Is Sole Proprietor?:No
Enumeration Date:2016-05-24
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149018536101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL3709683005Medicaid