Healthcare Provider Details

I. General information

NPI: 1487266573
Provider Name (Legal Business Name): MS. CELENN TONIA RAMSEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2020
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 N 44TH ST
PHOENIX AZ
85034-1898
US

IV. Provider business mailing address

3914 W DANCER LN
QUEEN CREEK AZ
85144-3104
US

V. Phone/Fax

Practice location:
  • Phone: 602-304-0014
  • Fax:
Mailing address:
  • Phone: 480-490-3430
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC-24500
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: