Healthcare Provider Details

I. General information

NPI: 1215816749
Provider Name (Legal Business Name): CHRISTINA RAMIREZ-HOLMES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2025
Last Update Date: 08/28/2025
Certification Date: 08/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11140 ROCKVILLE PIKE STE 415
ROCKVILLE MD
20852-3104
US

IV. Provider business mailing address

5669 COLUMBIA RD APT 402
COLUMBIA MD
21044-1975
US

V. Phone/Fax

Practice location:
  • Phone: 410-868-8645
  • Fax:
Mailing address:
  • Phone: 301-273-5833
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLGP14589
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLGP14589
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: