Provider Demographics
NPI:1417977588
Name:SHIRLEY-RAMOS, TONI D (LMFT)
Entity type:Individual
Prefix:
First Name:TONI
Middle Name:D
Last Name:SHIRLEY-RAMOS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1015 PRESCOTT DR
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77301-4149
Mailing Address - Country:US
Mailing Address - Phone:714-656-8325
Mailing Address - Fax:
Practice Address - Street 1:12747 CARNATION ST
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92880-7219
Practice Address - Country:US
Practice Address - Phone:714-656-8325
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC33338101YM0800X, 106H00000X
MFT33338101YP2500X
106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty