Healthcare Provider Details

I. General information

NPI: 1700781028
Provider Name (Legal Business Name): NEENA RAE RAMIREZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16530 VENTURA BLVD STE 400
ENCINO CA
91436-4551
US

IV. Provider business mailing address

23742 LYONS AVE UNIT 220083
NEWHALL CA
91322-7006
US

V. Phone/Fax

Practice location:
  • Phone: 323-677-4871
  • Fax:
Mailing address:
  • Phone: 661-627-6055
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberAPCC18833
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: