Basic Information
| Provider Information | |||||||||
| NPI: | 1689398711 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | BRANCHES RAMOS COUNSELING GROUP, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1690 BOSTON RD # 1015 | ||||||||
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| City: | SPRINGFIELD | ||||||||
| State: | MA | ||||||||
| PostalCode: | 011291153 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4132486686 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1690 BOSTON RD # 1015 | ||||||||
| Address2: | |||||||||
| City: | SPRINGFIELD | ||||||||
| State: | MA | ||||||||
| PostalCode: | 011291153 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4132486686 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/03/2022 | ||||||||
| LastUpdateDate: | 10/03/2022 | ||||||||
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| AuthorizedOfficialLastName: | RAMOS-CRUZ | ||||||||
| AuthorizedOfficialFirstName: | NITZA | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 7872481018 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | PH.D. | ||||||||
| NPICertificationDate: | 09/28/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QM0801X | Y | Ambulatory Health Care Facilities | Clinic/Center | Mental Health (Including Community Mental Health Center) |
No ID Information.