=====================================================
General NPI Number Information
=====================================================
NPI Number | 1376859488
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ROSALYNN RAMEY AND ASSOCIATES LTD
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/26/2010
-----------------------------------------------------
Last Update Date | 08/26/2010
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8887 W FLAMINGO RD STE 101
-----------------------------------------------------
City | LAS VEGAS
-----------------------------------------------------
State | NV
-----------------------------------------------------
Zip | 89147-8735
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 702-221-1014
-----------------------------------------------------
Fax | 702-111-1028
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8887 W FLAMINGO RD STE 101
-----------------------------------------------------
City | LAS VEGAS
-----------------------------------------------------
State | NV
-----------------------------------------------------
Zip | 89147-8735
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 702-221-1014
-----------------------------------------------------
Fax | 702-111-1028
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MANAGING MEMBER
-----------------------------------------------------
Name | MS. ROSALYNN JANE RAMEY
-----------------------------------------------------
Credential | LCSW
-----------------------------------------------------
Telephone | 702-221-1014
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251S00000X
-----------------------------------------------------
Taxonomy Name | Community/Behavioral Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------