Portz, Tracy A

Portz, Tracy A is an individual health care provider with primary practice located at 505 Brevard Ave 106, Cocoa FL 32922-7973. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Portz, Tracy A can be contacted via phone (321) 632-5792.

Contact Information

Primary practice address
505 Brevard Ave 106 Cocoa FL 32922-7973
Phone: (321) 632-5792
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW9780 Florida

Profile Details

NPI number 1215245311
LBN Legal business name Portz, Tracy A
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2010
Last updated Jan 17th, 2020 - 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.

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