1760147649 NPI number — CHANGES AND EMPOWERMENT PROGRAMS

Table of content: ELOISA ROSES RAMOS LCSW (NPI 1699449348)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1760147649 NPI number — CHANGES AND EMPOWERMENT PROGRAMS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CHANGES AND EMPOWERMENT PROGRAMS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1760147649
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/04/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
23830 PACIFIC HWY S SUITE 202
Provider Second Line Business Mailing Address:
23830 PACIFIC HWY S SUITE 202
Provider Business Mailing Address City Name:
KENT
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98032
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
206-501-5295
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
23830 PACIFIC HWY S STE 202
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KENT
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98032-7706
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-501-5295
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/04/2021

Additional Information

Authorized Official

Authorized Official Last Name:
CARTER
Authorized Official First Name:
NATURE
Authorized Official Middle Name:
PEARL
Authorized Official Title or Position:
CO/FOUNDER
Authorized Official Telephone Number:
206-853-0216

Provider Taxonomy Codes

  • Taxonomy code: 276400000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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