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NPI Code Detail

MEDICARE: RALEIGH RAMOS

MEDICARE: RALEIGH RAMOS
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1912604190
Entity Type Code : Individual
Provider Name (Legal Business Name) : RALEIGH RAMOS
Provider Business Mailing Address
First Line : 691 E EMPIRE ST
Second Line :
City : CORTEZ
State : CO
Zip : 81321-2802
Country : US
Telephone Number : 970-565-7946
Fax Number : 970-565-9005
Provider Business Practice Location Address
First Line : 1719 S MAIN ST
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84115-1911
Country : US
Telephone Number : 385-528-2950
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2023
Last Update Date : 01/16/2026

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Directions to “ RALEIGH RAMOS ” Practice Location

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