TRACEY WISDOM LCDC
NPI 1174329262
Counselor - Addiction (Substance Use Disorder) in Longview, TX
About Tracey Wisdom Lcdc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRACEY WISDOM LCDC (NPI 1174329262) is an individual addiction (substance use disorder) provider in Longview, Texas and active in the NPI registry since February 2025.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LONGVIEW, TX 75604
LONGVIEW, TX 75604
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 Tracey Wisdom's NPI number?
The NPI number for Tracey Wisdom is 1174329262. It was assigned to this individual provider in the NPPES registry on February 20, 2025.
Where is Tracey Wisdom located?
Tracey Wisdom practices at 201 Pine Tree Rd, Longview, TX 75604. The listed phone number is (903) 759-4966.
What is Tracey Wisdom'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 Tracey Wisdom was last updated on February 20, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.