Basic Information
Provider Information
NPI: 1255858429
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RAMSEY
FirstName: LAUREN
MiddleName: MARIE
NamePrefix: MRS.
NameSuffix:  
Credential: LPC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 480 LEHMAN AVE APT 121
Address2:  
City: BOWLING GREEN
State: OH
PostalCode: 434023055
CountryCode: US
TelephoneNumber: 6148229106
FaxNumber:  
Practice Location
Address1: 1010 N PROSPECT ST
Address2:  
City: BOWLING GREEN
State: OH
PostalCode: 434021335
CountryCode: US
TelephoneNumber: 4193525387
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/28/2017
LastUpdateDate: 06/13/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101Y00000XC.1700644OHY Behavioral Health & Social Service ProvidersCounselor 

No ID Information.


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