MEDICARE: LINDSEY BROOKE JOHNSON-RAMREZ

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
2	101YP2500X	Professional Counselor	76189	TX

General Provider Information

NPI Number	:	1710768692
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSEY BROOKE JOHNSON-RAMREZ

Provider Business Mailing Address
First Line	:	13226 BROADMEADE AVE
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78729-2818
Country	:	US
Telephone Number	:	512-699-4227
Fax Number	:

Provider Business Practice Location Address
First Line	:	13226 BROADMEADE AVE
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78729-2818
Country	:	US
Telephone Number	:	512-699-4227
Fax Number	:

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

Provider Enumeration Date	:	10/09/2023
Last Update Date	:	02/13/2026

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