Healthcare Provider Details

I. General information

NPI: 1144677576
Provider Name (Legal Business Name): FAITH HALVERSON-RAMOS LPC, LAC, MT-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/16/2016
Last Update Date: 06/07/2025
Certification Date: 06/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1361 FRANCIS ST STE 201E
LONGMONT CO
80501-2512
US

IV. Provider business mailing address

1900 LINCOLN STREET
LONGMONT CO
80501-1847
US

V. Phone/Fax

Practice location:
  • Phone: 303-521-2791
  • Fax:
Mailing address:
  • Phone: 303-521-2791
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number0002735
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number08395
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0011552
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: