Carter, Tracy

Carter, Tracy is an individual health care provider with primary practice located at 17 Royal St Sw Ste 201 , Leesburg VA 20175-2912. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Carter, Tracy can be contacted via phone (703) 303-5946.

Contact Information

Primary practice address
17 Royal St Sw Ste 201 Leesburg VA 20175-2912
Phone: (703) 303-5946
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701003873 Virginia

Profile Details

NPI number 1750308508
LBN Legal business name Carter, Tracy
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Jan 12th, 2024 - about 10 months 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 1750308508 NPPES
Virginia Other 832788000 MAGELLAN
Virginia MEDICAID 010207436 MAGELLAN

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