Healthcare Provider Details

I. General information

NPI: 1639387277
Provider Name (Legal Business Name): DENNIS GABRIEL RAMOS LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2007
Last Update Date: 08/12/2021
Certification Date: 08/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11710 OLD GEORGETOWN RD APT 124
ROCKVILLE MD
20852-2691
US

IV. Provider business mailing address

11710 OLD GEORGETOWN RD APT 124
ROCKVILLE MD
20852-2691
US

V. Phone/Fax

Practice location:
  • Phone: 202-448-2840
  • Fax:
Mailing address:
  • Phone: 202-607-0498
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPRC 13874
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701004315
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: