York, Tracey R

York, Tracey R is an individual health care provider with primary practice located at 125 S 5Th St , Reading PA 19602. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. York, Tracey R can be contacted via phone (610) 685-2188.

Contact Information

Primary practice address
125 S 5Th St Reading PA 19602
Phone: (610) 685-2188
Fax: (610) 685-2183
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 1317 Pennsylvania
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Professional 101YP2500X PC007191 Pennsylvania

Profile Details

NPI number 1568644359
LBN Legal business name York, Tracey R
Credentials MA CACII
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2007
Last updated Jun 24th, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1568644359 NPPES
Pennsylvania MEDICAID 103427639

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