Provider Demographics
NPI:1346991452
Name:HART, KATURA TRAMAINE
Entity type:Individual
Prefix:
First Name:KATURA
Middle Name:TRAMAINE
Last Name:HART
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KATURA
Other - Middle Name:TRAMAINE
Other - Last Name:HARRELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2012 S 31ST ST APT 2102
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76504-7140
Mailing Address - Country:US
Mailing Address - Phone:571-346-0299
Mailing Address - Fax:
Practice Address - Street 1:1401 HAVEN RD APT B12
Practice Address - Street 2:
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21742-3097
Practice Address - Country:US
Practice Address - Phone:713-460-2995
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-11
Last Update Date:2024-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX109759104100000X
NMSWB-2024-0925104100000X
106S00000X
MD32350104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician