Crain, Tracy E.

Crain, Tracy E. is an sole proprietor health care provider with primary practice located at 305 Miron Drive , Southlake TX 76092. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Crain, Tracy E. can be contacted via phone (682) 233-2882.

Contact Information

Primary practice address
305 Miron Drive Southlake TX 76092
Phone: (682) 233-2882
Fax: (682) 292-1380
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCDC 9238 Texas
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC 19459 Texas
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC 19459 Texas

Profile Details

NPI number 1740444926
LBN Legal business name Crain, Tracy E.
Credentials LPC-S, LCDC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 16th, 2008
Last updated Oct 7th, 2022 - about 2 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 1740444926 NPPES
Texas MEDICAID 162022101

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