Provider Demographics
NPI:1124904511
Name:RAMOS, ELISE (MS, CPC-I)
Entity type:Individual
Prefix:
First Name:ELISE
Middle Name:
Last Name:RAMOS
Suffix:
Gender:F
Credentials:MS, CPC-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:98 S MARTIN LUTHER KING BLVD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89106-4324
Mailing Address - Country:US
Mailing Address - Phone:254-493-2311
Mailing Address - Fax:
Practice Address - Street 1:8689 W SAHARA AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-5870
Practice Address - Country:US
Practice Address - Phone:702-330-5665
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-12
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health