Powney, Tracie Michelle
Powney, Tracie Michelle is an sole proprietor health care provider with primary practice located at 1107 W Bay Dr Nw Suite 102, Olympia WA 98502-4668. She recently has 6 registered licenses in different health care specialties including Other Service Providers / Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mental Health, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Powney, Tracie Michelle can be contacted via phone (360) 791-9336.Contact Information
Primary practice address
1107 W Bay Dr Nw Suite 102
Olympia WA 98502-4668
Phone: (360) 791-9336
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | OT00003125 | Washington |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mental Health | 225XM0800X | OT 00003125 | Washington |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT 00003125 | Washington |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MC 60556138 | Washington |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | MG 60565629 | Washington |
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | MC 60556138 | Washington |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LH60724718 | Washington |
Profile Details
| NPI number | 1871794891 |
|---|---|
| LBN Legal business name | Powney, Tracie Michelle |
| Credentials | OTRL, LMHC, LMFTA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 29th, 2007 |
| Last updated | Jan 11th, 2017 - about 8 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 | 1871794891 | NPPES |
| Washington | MEDICAID | 8341315 |
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