Basic Information
| Provider Information | |||||||||
| NPI: | 1932348703 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | RAMIREZ | ||||||||
| FirstName: | DAISY | ||||||||
| MiddleName: | MARIA | ||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | LMHC | ||||||||
| OtherOrganizationName: | |||||||||
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| Mailing Information | |||||||||
| Address1: | 6621 DONIPHAN DR STE G | ||||||||
| Address2: | |||||||||
| City: | CANUTILLO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 798355005 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9158775100 | ||||||||
| FaxNumber: | 9158775107 | ||||||||
| Practice Location | |||||||||
| Address1: | 6621 DONIPHAN DR STE G | ||||||||
| Address2: | |||||||||
| City: | CANUTILLO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 798355005 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9158775100 | ||||||||
| FaxNumber: | 9158775107 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/18/2009 | ||||||||
| LastUpdateDate: | 02/18/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | 0120171 | NM | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
ID Information
| ID | Type | State | Issuer | Description | VNM01103NI | 01 | NM | VALUE OPTIONS | OTHER |