Provider Demographics
NPI:1992503890
Name:RAVAOARIMANGA, FARAMALALA VICTOIRE
Entity type:Individual
Prefix:
First Name:FARAMALALA
Middle Name:VICTOIRE
Last Name:RAVAOARIMANGA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 N VAN DORN ST APT 214
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22304-5000
Mailing Address - Country:US
Mailing Address - Phone:910-296-3125
Mailing Address - Fax:
Practice Address - Street 1:420 N VAN DORN ST APT 214
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22304-5000
Practice Address - Country:US
Practice Address - Phone:910-296-3125
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-05
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health