Healthcare Provider Details

I. General information

NPI: 1265343016
Provider Name (Legal Business Name): MARILYN RAMOS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/12/2026
Last Update Date: 09/12/2026
Certification Date: 09/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 PROSPECT AVE APT 6
BAYONNE NJ
07002-4973
US

IV. Provider business mailing address

211 PROSPECT AVE APT 6
BAYONNE NJ
07002-4973
US

V. Phone/Fax

Practice location:
  • Phone: 201-951-4160
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number37PC01268200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: