Humphrey, Tracy Louise
Humphrey, Tracy Louise is an sole proprietor health care provider with primary practice located at 7160 Tchulahoma Rd Bldg B , Southaven MS 38671-9266. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Humphrey, Tracy Louise can be contacted via phone (662) 536-3132.Contact Information
Primary practice address
7160 Tchulahoma Rd Bldg B
Southaven MS 38671-9266
Phone: (662) 536-3132
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1023528643 |
|---|---|
| LBN Legal business name | Humphrey, Tracy Louise |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 10th, 2017 |
| Last updated | Oct 10th, 2017 - about 9 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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