Provider Demographics
NPI:1548520729
Name:CHAMPAGNE, RAMSEY (LMHC)
Entity type:Individual
Prefix:
First Name:RAMSEY
Middle Name:
Last Name:CHAMPAGNE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:RAMSEY
Other - Middle Name:
Other - Last Name:SPRATTMORAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MHPP
Mailing Address - Street 1:82 NORMANDY AVE
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02138-1017
Mailing Address - Country:US
Mailing Address - Phone:617-402-5653
Mailing Address - Fax:
Practice Address - Street 1:1158 MASSACHUSETTS AVE UNIT 306
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02138-5205
Practice Address - Country:US
Practice Address - Phone:617-402-5653
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-22
Last Update Date:2019-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10514101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health