Gorman, Jeramie Sousa

Gorman, Jeramie Sousa is an sole proprietor health care provider with primary practice located at 104 Crescent Dr , Lebanon MO 65536-3301. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Gorman, Jeramie Sousa can be contacted via phone (417) 588-5885.

Contact Information

Primary practice address
104 Crescent Dr Lebanon MO 65536-3301
Phone: (417) 588-5885
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 2012037683 Missouri
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2012037683 Missouri
Behavioral Health & Social Service Providers / Professional 101YP2500X 2012037683 Missouri

Profile Details

NPI number 1265786891
LBN Legal business name Gorman, Jeramie Sousa
Credentials PLPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 5th, 2012
Last updated Nov 5th, 2012 - about 12 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.

Request for update

Popular Providers