TRACEY WISDOM LCDC
NPI 1174329262
Counselor - Addiction (Substance Use Disorder) in Longview, TX

Active since February 20, 2025
201 PINE TREE RD, LONGVIEW, TX 75604(903) 759-4966 Get Directions Write a Review

NPPES record last updated: February 20, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1174329262
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameTRACEY WISDOMCredential: LCDC
Location Address201 PINE TREE RDLongview, TX 75604-4140
Mailing Address201 Pine Tree RdLongview, TX 75604-4140
Sole ProprietorYes
Enumeration DateFebruary 20, 2025
NPPES CertifiedFebruary 20, 2025
NPI 1174329262 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
201 PINE TREE RD, Longview, TX 75604

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.

Counselor (Addiction (Substance Use Disorder))
201 PINE TREE RD
LONGVIEW, TX 75604
Clinic/Center (Methadone)
201 PINE TREE RD
LONGVIEW, TX 75604
Counselor (Addiction (Substance Use Disorder))
201 PINE TREE RD
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.