Provider Demographics
NPI:1639905755
Name:RAMSELL, BETSY DENISE (LSAA)
Entity type:Individual
Prefix:
First Name:BETSY
Middle Name:DENISE
Last Name:RAMSELL
Suffix:
Gender:F
Credentials:LSAA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1483
Mailing Address - Street 2:
Mailing Address - City:BELEN
Mailing Address - State:NM
Mailing Address - Zip Code:87002-1483
Mailing Address - Country:US
Mailing Address - Phone:505-318-7850
Mailing Address - Fax:
Practice Address - Street 1:2107 WYOMING BLVD NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87112-2617
Practice Address - Country:US
Practice Address - Phone:505-705-0571
Practice Address - Fax:505-503-1617
Is Sole Proprietor?:No
Enumeration Date:2024-09-13
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMCTB-2024-0159101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)