Provider Demographics
NPI:1649582495
Name:PRATHER, ANNA CHRISTINA (MA, LMFTA)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:CHRISTINA
Last Name:PRATHER
Suffix:
Gender:F
Credentials:MA, LMFTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:58 N WINDWARD CT
Mailing Address - Street 2:
Mailing Address - City:TAYLORS
Mailing Address - State:SC
Mailing Address - Zip Code:29687-6151
Mailing Address - Country:US
Mailing Address - Phone:864-214-5169
Mailing Address - Fax:
Practice Address - Street 1:58 N WINDWARD CT
Practice Address - Street 2:
Practice Address - City:TAYLORS
Practice Address - State:SC
Practice Address - Zip Code:29687-6151
Practice Address - Country:US
Practice Address - Phone:864-214-5169
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-09
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103K00000X
SC8702106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC8702OtherSCLLR
0-10-3765OtherBACB