Healthcare Provider Details

I. General information

NPI: 1508438771
Provider Name (Legal Business Name): STEFANIE RAMIREZ MA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2021
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 BROADWAY STE 402
TACOMA WA
98402-4454
US

IV. Provider business mailing address

950 BROADWAY STE 402
TACOMA WA
98402-4454
US

V. Phone/Fax

Practice location:
  • Phone: 253-365-7738
  • Fax:
Mailing address:
  • Phone: 253-365-7738
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number70156954
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number70118509
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: