Healthcare Provider Details

I. General information

NPI: 1306491568
Provider Name (Legal Business Name): RAMAGE MARRIAGE AND FAMILY THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2019
Last Update Date: 09/12/2025
Certification Date: 09/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 N BUSH AVE
CLOVIS CA
93611-7136
US

IV. Provider business mailing address

1077 N WILLOW AVE STE 105
CLOVIS CA
93611-4415
US

V. Phone/Fax

Practice location:
  • Phone: 559-475-8202
  • Fax:
Mailing address:
  • Phone: 559-475-8202
  • Fax: 559-214-0171

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: TAMI RAE RAMAGE
Title or Position: CEO
Credential:
Phone: 559-475-8202