Healthcare Provider Details

I. General information

NPI: 1316442825
Provider Name (Legal Business Name): XENIA RAMOS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/27/2018
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1730 JEFFERSON DAVIS HWY
CAMDEN SC
29020-3337
US

IV. Provider business mailing address

1111 BROAD ST STE 3D
CAMDEN SC
29020-3610
US

V. Phone/Fax

Practice location:
  • Phone: 803-425-8965
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number10991
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: