Provider Demographics
NPI:1699459545
Name:RANSOME, RONNIE DARCEL JR (MED, LPC)
Entity type:Individual
Prefix:
First Name:RONNIE
Middle Name:DARCEL
Last Name:RANSOME
Suffix:JR
Gender:M
Credentials:MED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1909 HUGUENOT RD
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23235-4314
Mailing Address - Country:US
Mailing Address - Phone:804-350-7952
Mailing Address - Fax:
Practice Address - Street 1:1909 HUGENOT RD
Practice Address - Street 2:ST 202
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23235
Practice Address - Country:US
Practice Address - Phone:804-350-7952
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-12
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701012506101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health