Tracy, Braelyn

Tracy, Braelyn is an sole proprietor health care provider with primary practice located at 2001 University Dr , Lemont Furnace PA 15456-1029. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / School is her primary health care specialty. Tracy, Braelyn can be contacted via phone (724) 626-4444.

Contact Information

Primary practice address
2001 University Dr Lemont Furnace PA 15456-1029
Phone: (724) 626-4444
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Pennsylvania
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X Pennsylvania
Behavioral Health & Social Service Providers / School 103TS0200X SP-8693543 Pennsylvania

Profile Details

NPI number 1427893999
LBN Legal business name Tracy, Braelyn
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2024
Last updated Jun 27th, 2024 - about last year

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1427893999 NPPES
Pennsylvania Other PABLS HIGHMARK BCBS
Pennsylvania MEDICAID 1025726530002 HIGHMARK BCBS
Pennsylvania Other 23281 HIGHMARK BCBS

Popular Providers