Provider Demographics
NPI:1861143679
Name:HOLLY L. RAMAEKER
Entity type:Organization
Organization Name:HOLLY L. RAMAEKER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMAEKER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:402-203-5694
Mailing Address - Street 1:PO BOX 901211
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64190-1211
Mailing Address - Country:US
Mailing Address - Phone:402-203-5694
Mailing Address - Fax:
Practice Address - Street 1:620 E 18TH ST STE 203
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64108-1513
Practice Address - Country:US
Practice Address - Phone:402-203-5694
Practice Address - Fax:816-819-5873
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-12
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty