Moore, Tracy J

Moore, Tracy J is an sole proprietor health care provider with primary practice located at 5500 Executive Center Dr , Charlotte NC 28212-8856. She recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Community Health Worker, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Moore, Tracy J can be contacted via phone (704) 537-5760.

Contact Information

Primary practice address
5500 Executive Center Dr Charlotte NC 28212-8856
Phone: (704) 537-5760
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LCAS-15519 North Carolina
Other Service Providers / Case Manager/Care Coordinator 171M00000X LCAS-15519 North Carolina
Other Service Providers / Community Health Worker 172V00000X LCAS-15519 North Carolina
Behavioral Health & Social Service Providers / Clinical 1041C0700X P007403 North Carolina
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCAS-15519 North Carolina
Behavioral Health & Social Service Providers / Counselor 101Y00000X LCAS-15519 North Carolina

Profile Details

NPI number 1558614677
LBN Legal business name Moore, Tracy J
Credentials LCAS-A
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 26th, 2012
Last updated Sep 28th, 2016 - 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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