MEDICARE: RODRIGUEZ-RAMOS MENTAL HEALTH COUNSELING PLLC

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1467257279
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RODRIGUEZ-RAMOS MENTAL HEALTH COUNSELING PLLC

Provider Business Mailing Address
First Line	:	1175 MAMARONECK AVE
Second Line	:
City	:	WHITE PLAINS
State	:	NY
Zip	:	10605-4806
Country	:	US
Telephone Number	:	347-432-2829
Fax Number	:

Provider Business Practice Location Address
First Line	:	585 E 187TH ST STE 202
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10458-6701
Country	:	US
Telephone Number	:	347-432-2829
Fax Number	:

Authorized Official
Title or Position	:	MENTAL HEALTH PROFESIONAL
Name	:	ISMENIA RODRIGUEZ-RAMOS
Credential	:	LMHC
Telephone Number	:	347-432-2829

Provider Enumeration Date	:	02/17/2025
Last Update Date	:	02/17/2025

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