Provider Demographics
NPI:1588053722
Name:RAMSEY, ZACHARY BLAKE (MS, LCDC, LPC-INTERN)
Entity type:Individual
Prefix:MR
First Name:ZACHARY
Middle Name:BLAKE
Last Name:RAMSEY
Suffix:
Gender:M
Credentials:MS, LCDC, LPC-INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3300 OAK LAWN AVE
Mailing Address - Street 2:SUITE 415
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75219-4236
Mailing Address - Country:US
Mailing Address - Phone:214-471-8650
Mailing Address - Fax:
Practice Address - Street 1:3300 OAK LAWN AVE
Practice Address - Street 2:SUITE 415
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75219-4236
Practice Address - Country:US
Practice Address - Phone:214-471-8650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-12
Last Update Date:2015-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12541101YA0400X
TX72340101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health