Prater, Jermine Theresa

Prater, Jermine Theresa is an sole proprietor health care provider with primary practice located at 2104 Cleco Street , Mansura LA 71350. She recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Behavioral Health & Social Service Providers / Counselor, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Prater, Jermine Theresa can be contacted via phone (318) 964-2679.

Contact Information

Primary practice address
2104 Cleco Street Mansura LA 71350
Phone: (318) 964-2679
Fax: (318) 964-2683
Website:
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Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X Louisiana
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1235650417
LBN Legal business name Prater, Jermine Theresa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2017
Last updated Jun 16th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235650417 NPPES
Louisiana Other 1679507412 NPI
Louisiana MEDICAID 1544761 NPI
Louisiana Other 721422495 NPI

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