Healthcare Provider Details

I. General information

NPI: 1548951742
Provider Name (Legal Business Name): DAISY G RAMOS LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/17/2023
Last Update Date: 09/05/2024
Certification Date: 09/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6837 LA CADENA DR
EL PASO TX
79912-2828
US

IV. Provider business mailing address

6837 LA CADENA DR
EL PASO TX
79912-2828
US

V. Phone/Fax

Practice location:
  • Phone: 915-317-0200
  • Fax:
Mailing address:
  • Phone: 915-317-0200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License NumberCTB-2023-0179
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: