Mcconnell, Tracie Mertz
Mcconnell, Tracie Mertz is an individual health care provider with primary practice located at 651 S Main St , Greenville SC 29601-2504. She recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Health Service, Behavioral Health & Social Service Providers / Group Psychotherapy, Behavioral Health & Social Service Providers / Rehabilitation, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Mcconnell, Tracie Mertz can be contacted via phone (864) 241-2600.Contact Information
Primary practice address
651 S Main St
Greenville SC 29601-2504
Phone: (864) 241-2600
Fax: (864) 454-1130
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 686 | South Carolina |
| Behavioral Health & Social Service Providers / Adult Development & Aging | 103TA0700X | 686 | South Carolina |
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | 686 | South Carolina |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 686 | South Carolina |
| Behavioral Health & Social Service Providers / Health Service | 103TH0100X | 686 | South Carolina |
| Behavioral Health & Social Service Providers / Group Psychotherapy | 103TP2701X | 686 | South Carolina |
| Behavioral Health & Social Service Providers / Rehabilitation | 103TR0400X | 686 | South Carolina |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 686 | South Carolina |
Profile Details
| NPI number | 1003968116 |
|---|---|
| LBN Legal business name | Mcconnell, Tracie Mertz |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 17th, 2007 |
| Last updated | Jul 8th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003968116 | NPPES |
| South Carolina | Other | 680016185 | MEDICARE RAILROAD |
| South Carolina | MEDICAID | PS0262 | MEDICARE RAILROAD |
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