Healthcare Provider Details

I. General information

NPI: 1164991683
Provider Name (Legal Business Name): ELIZABETH RAMIREZ CHILD & FAMILY COUNSELING INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2018
Last Update Date: 01/21/2020
Certification Date: 01/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 W GABILAN ST STE 18
SALINAS CA
93901-2723
US

IV. Provider business mailing address

1267 S MAIN ST
SALINAS CA
93901-2293
US

V. Phone/Fax

Practice location:
  • Phone: 831-754-3077
  • Fax: 831-751-9247
Mailing address:
  • Phone: 831-754-3077
  • Fax: 831-751-9247

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. ELIZABETH RAMIREZ
Title or Position: MARRIAGE & FAMILY THERAPIST
Credential: MS
Phone: 831-754-3077