Provider Demographics
NPI:1922830264
Name:PRATER, SIERRA M (PLPC)
Entity type:Individual
Prefix:
First Name:SIERRA
Middle Name:M
Last Name:PRATER
Suffix:
Gender:F
Credentials:PLPC
Other - Prefix:
Other - First Name:SEIRRA
Other - Middle Name:M
Other - Last Name:PRATER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1907 OAK CREEK RD APT 314
Mailing Address - Street 2:
Mailing Address - City:RIVER RIDGE
Mailing Address - State:LA
Mailing Address - Zip Code:70123-5858
Mailing Address - Country:US
Mailing Address - Phone:504-505-3835
Mailing Address - Fax:
Practice Address - Street 1:421 COHEN ST
Practice Address - Street 2:
Practice Address - City:MARRERO
Practice Address - State:LA
Practice Address - Zip Code:70072-1415
Practice Address - Country:US
Practice Address - Phone:504-756-6436
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-15
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPLC10262101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional