Healthcare Provider Details

I. General information

NPI: 1982133252
Provider Name (Legal Business Name): PAULA CIARA RAMOS LMFT 152151
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2017
Last Update Date: 02/13/2026
Certification Date: 02/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8641 MIGNONETTE ST
ALTA LOMA CA
91701-4523
US

IV. Provider business mailing address

755 S MAIN ST STE 4-504
CEDAR CITY UT
84720-3653
US

V. Phone/Fax

Practice location:
  • Phone: 909-736-0813
  • Fax:
Mailing address:
  • Phone: 909-736-0813
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number139161
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: