Prather, Joel Glenn

Prather, Joel Glenn is an sole proprietor health care provider with primary practice located at 12133 Panama City Beach Pkwy , Panama City Beach FL 32407-2609. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Prather, Joel Glenn can be contacted via phone (850) 249-9636.

Contact Information

Primary practice address
12133 Panama City Beach Pkwy Panama City Beach FL 32407-2609
Phone: (850) 249-9636
Fax: (850) 249-9635
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH9104 Florida

Profile Details

NPI number 1063633444
LBN Legal business name Prather, Joel Glenn
Credentials PSY.D, LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2007
Last updated Mar 3rd, 2025 - about last year

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 1063633444 NPPES
Florida MEDICAID 768539400

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