Audet, Tracy Allen

Audet, Tracy Allen is an sole proprietor health care provider with primary practice located at 571 Sabattus St Ste 7 1St Floor, Lewiston ME 04240-4156. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Audet, Tracy Allen can be contacted via phone (207) 753-0783.

Contact Information

Primary practice address
571 Sabattus St Ste 7 1St Floor Lewiston ME 04240-4156
Phone: (207) 753-0783
Fax: (207) 753-0323
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LC6370 Maine
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LC4081 Maine

Profile Details

NPI number 1285696799
LBN Legal business name Audet, Tracy Allen
Credentials LCSW LADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2006
Last updated Jun 1st, 2009 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285696799 NPPES
Maine MEDICAID 265120099

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