Healthcare Provider Details

I. General information

NPI: 1881529139
Provider Name (Legal Business Name): HEATHER RAMSEY PPS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28545 DRIVER AVE
AGOURA HILLS CA
91301-3335
US

IV. Provider business mailing address

720 DEER RUN LN APT 178
OAK PARK CA
91377-5436
US

V. Phone/Fax

Practice location:
  • Phone: 818-889-1262
  • Fax:
Mailing address:
  • Phone: 619-895-3171
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number260043392
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: