Provider Demographics
NPI:1730848185
Name:RAMIREZ, AMIE MARIE (LPC)
Entity type:Individual
Prefix:
First Name:AMIE
Middle Name:MARIE
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6063 W VAN BUREN RD
Mailing Address - Street 2:
Mailing Address - City:ALMA
Mailing Address - State:MI
Mailing Address - Zip Code:48801-9534
Mailing Address - Country:US
Mailing Address - Phone:989-285-4989
Mailing Address - Fax:
Practice Address - Street 1:8585 N CROSWELL RD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MI
Practice Address - Zip Code:48880-9210
Practice Address - Country:US
Practice Address - Phone:989-681-6444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-14
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401018077101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional