Healthcare Provider Details

I. General information

NPI: 1255720546
Provider Name (Legal Business Name): SIERRA MARIE RAMOS LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SIERRA MARIE BUMSTED

II. Dates (important events)

Enumeration Date: 01/09/2015
Last Update Date: 01/07/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1106 N WASHINGTON ST STE D
SPOKANE WA
99201-2205
US

IV. Provider business mailing address

PO BOX 3183
SPOKANE WA
99220-3183
US

V. Phone/Fax

Practice location:
  • Phone: 509-744-1117
  • Fax: 509-744-3055
Mailing address:
  • Phone: 509-744-1117
  • Fax: 509-744-3055

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: