Terry, Tracey Leann
Terry, Tracey Leann is an sole proprietor health care provider with primary practice located at 125 S Main Cross St , Louisa KY 41230-1065. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Terry, Tracey Leann can be contacted via phone (606) 638-0938.Contact Information
Primary practice address
125 S Main Cross St
Louisa KY 41230-1065
Phone: (606) 638-0938
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 104799 | Kentucky |
Profile Details
| NPI number | 1790961795 |
|---|---|
| LBN Legal business name | Terry, Tracey Leann |
| Credentials | LPCC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 21st, 2008 |
| Last updated | Mar 21st, 2024 - about 8 months 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 | 1790961795 | NPPES |
| Kentucky | MEDICAID | 7100283500 | |
| Kentucky | Other | 117986 | |
| Kentucky | Other | 000000689192 |
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