Provider Demographics
NPI:1306491568
Name:RAMAGE MARRIAGE & FAMILY THERAPY, INC.
Entity type:Organization
Organization Name:RAMAGE MARRIAGE & FAMILY THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TAMI
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMAGE
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:559-475-8202
Mailing Address - Street 1:264 CLOVIS AVE # 202
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93612-1115
Mailing Address - Country:US
Mailing Address - Phone:559-475-8202
Mailing Address - Fax:559-214-0171
Practice Address - Street 1:264 CLOVIS AVE # 202
Practice Address - Street 2:
Practice Address - City:CLOVIS
Practice Address - State:CA
Practice Address - Zip Code:93612-1115
Practice Address - Country:US
Practice Address - Phone:559-475-8202
Practice Address - Fax:559-214-0171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-05
Last Update Date:2019-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty