Powell, Tracey Dove

Powell, Tracey Dove is an individual health care provider with primary practice located at 44355 Premier Plz Suite 120, Ashburn VA 20147-5049. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Powell, Tracey Dove can be contacted via phone (703) 655-4869.

Contact Information

Primary practice address
44355 Premier Plz Suite 120 Ashburn VA 20147-5049
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0701005549 Virginia

Profile Details

NPI number 1194005637
LBN Legal business name Powell, Tracey Dove
Credentials MS, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2011
Last updated Sep 3rd, 2013 - about 11 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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