Provider Demographics
NPI:1700122116
Name:RAMOS, YALICE (MS,, RMHCI)
Entity Type:Individual
Prefix:MRS
First Name:YALICE
Middle Name:
Last Name:RAMOS
Suffix:
Gender:F
Credentials:MS,, RMHCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1795 NE 37TH AVE
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33033-5672
Mailing Address - Country:US
Mailing Address - Phone:305-331-9865
Mailing Address - Fax:
Practice Address - Street 1:2682 SW 87TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-2000
Practice Address - Country:US
Practice Address - Phone:305-480-5680
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-13
Last Update Date:2012-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH 6765101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health