Provider Demographics
NPI:1912638735
Name:RAMOS, CRISTINA (MA, LMHC)
Entity Type:Individual
Prefix:
First Name:CRISTINA
Middle Name:
Last Name:RAMOS
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12010 MESSLER RD
Mailing Address - Street 2:
Mailing Address - City:GIBSONTON
Mailing Address - State:FL
Mailing Address - Zip Code:33534-5608
Mailing Address - Country:US
Mailing Address - Phone:813-391-8068
Mailing Address - Fax:
Practice Address - Street 1:12010 MESSLER RD
Practice Address - Street 2:
Practice Address - City:GIBSONTON
Practice Address - State:FL
Practice Address - Zip Code:33534-5608
Practice Address - Country:US
Practice Address - Phone:813-391-8068
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-22
Last Update Date:2022-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH19472101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health