Healthcare Provider Details

I. General information

NPI: 1811772932
Provider Name (Legal Business Name): JILLIAN SALLY RAMEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/28/2023
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

81 HARTWELL AVE STE 310
LEXINGTON MA
02421-3177
US

IV. Provider business mailing address

81 HARTWELL AVE STE 310
LEXINGTON MA
02421-3177
US

V. Phone/Fax

Practice location:
  • Phone: 781-919-6869
  • Fax:
Mailing address:
  • Phone: 781-918-6869
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: