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TRACI ETHERIDGE
NPI 1124882337
Counselor - Addiction (Substance Use Disorder) in Edenton, NC

Active since February 08, 2024
124 MORRIS LANE, EDENTON, NC 27932(917) 282-6808 Get Directions Write a Review

NPPES record last updated: February 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Traci Etheridge NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRACI ETHERIDGE (NPI 1124882337) is an individual addiction (substance use disorder) provider in Edenton, North Carolina and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1124882337
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameTRACI ETHERIDGE
Location Address124 MORRIS LANEEdenton, NC 27932
Mailing Address124 Morris LaneEdenton, NC 27932
Phone(917) 282-6808
Sole ProprietorNo
Enumeration DateFebruary 8, 2024
NPPES CertifiedFebruary 6, 2024
✔ NPI 1124882337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
124 MORRIS LANE, Edenton, NC 27932
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Traci Etheridge's NPI number?

The NPI number for Traci Etheridge is 1124882337. It was assigned to this individual provider in the NPPES registry on February 8, 2024.

Where is Traci Etheridge located?

Traci Etheridge practices at 124 Morris Lane, Edenton, NC 27932. The listed phone number is (917) 282-6808.

What is Traci Etheridge's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Traci Etheridge was last updated on February 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.