Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Jeramie Sousa Gorman, PLPC

Individual provider Counselor · NPI 1265786891

Mr. Jeramie Sousa Gorman, PLPC is a Counselor in Lebanon, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2012
Specialties on file
3
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Practice location Address checks out

104 Crescent Dr
Lebanon, MO 65536-3301
Phone: (417) 588-5885
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 2012037683 (MO)
Counselor Taxonomy 101Y00000X · Licence 2012037683 (MO)
Mental Health Counselor Taxonomy 101YM0800X · Licence 2012037683 (MO)

Record details

NPI number1265786891
Entity typeIndividual (Type 1)
GenderMale
Credentials PLPC
Sole proprietorYes
NPI enumeratedNovember 5, 2012
Last updated in NPPESNovember 5, 2012

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