Moss, Tracee

Moss, Tracee is an sole proprietor health care provider with primary practice located at 3050 Southwind Trl , Youngstown OH 44514-2880. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Moss, Tracee can be contacted via phone (330) 953-1202.

Contact Information

Primary practice address
3050 Southwind Trl Youngstown OH 44514-2880
Fax: (330) 953-1204
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X E-0004017 Ohio
Behavioral Health & Social Service Providers / Mental Health 101YM0800X E-0004017 Ohio

Profile Details

NPI number 1184641730
LBN Legal business name Moss, Tracee
Credentials MS IN ED
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2006
Last updated Jan 6th, 2022 - about 3 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 1184641730 NPPES
Ohio Other 24875600 MIS # MAGELLAN HEALTH SER

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