MR. JERAMIE SOUSA GORMAN PLPC - NPI 1265786891

Q: What is Jeramie Gorman's NPI number?

The NPI number for Jeramie Gorman is 1265786891. It was assigned to this individual provider in the NPPES registry on November 5, 2012.

Q: What is Jeramie Gorman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Jeramie Gorman was last updated on November 5, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mr. Jeramie Sousa Gorman Plpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JERAMIE SOUSA GORMAN PLPC (NPI 1265786891) is an individual professional provider in Lebanon, Missouri, licensed in Missouri (2012037683) and active in the NPI registry since November 2012.

NPPES Registry Identity

NPI1265786891

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameMR. JERAMIE SOUSA GORMANCredential: PLPC

Location Address104 CRESCENT DRLebanon, MO 65536-3301

Mailing Address413 Harmony RdSeymour, MO 65746-7223 · (417) 935-2799

Phone(417) 588-5885

Sole ProprietorYes

Enumeration DateNovember 5, 2012

✔ NPI 1265786891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in MO · 2012037683

Also ListedCounselorTaxonomy 101Y00000X · License 2012037683 (MO)

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 2012037683 (MO)

104 CRESCENT DR, Lebanon, MO 65536

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Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHARLOTTE A MOORE LPC

Counselor (Professional)