Healthcare Provider Details

I. General information

NPI: 1871190819
Provider Name (Legal Business Name): JOY RAMME
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2020
Last Update Date: 09/10/2024
Certification Date: 09/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

353 FOREST GROVE DR STE 100
PEWAUKEE WI
53072-3765
US

IV. Provider business mailing address

353 FOREST GROVE DR STE 100
PEWAUKEE WI
53072-3765
US

V. Phone/Fax

Practice location:
  • Phone: 262-470-9131
  • Fax: 262-691-2972
Mailing address:
  • Phone: 262-470-9131
  • Fax: 262-691-2972

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number10058-125
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: