MEDICARE: RAMSEY E GOSHERT LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	0701005221	VA

General Provider Information

NPI Number	:	1134489628
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAMSEY E GOSHERT LPC

Provider Business Mailing Address
First Line	:	309 LYNNHAVEN PKWY STE 100
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23452-7411
Country	:	US
Telephone Number	:	757-330-8822
Fax Number	:	757-296-0012

Provider Business Practice Location Address
First Line	:	309 LYNNHAVEN PKWY STE 100
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23452-7411
Country	:	US
Telephone Number	:	757-330-8822
Fax Number	:	757-296-0012

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2012
Last Update Date	:	02/24/2020

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Directions to “ RAMSEY E GOSHERT LPC” Practice Location

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