MS. TRACY LOU KLUCINA LCAS
NPI 1184761520
Counselor - Addiction (Substance Use Disorder) in Charlotte, NC

Active since February 01, 2007
3430 WHEATLEY AVE, CHARLOTTE, NC 28205(704) 591-2026(704) 336-6559 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Tracy Lou Klucina Lcas NPPES

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

MS. TRACY LOU KLUCINA LCAS (NPI 1184761520) is an individual addiction (substance use disorder) provider in Charlotte, North Carolina, licensed in North Carolina (944) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1184761520
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMS. TRACY LOU KLUCINACredential: LCAS
Location Address3430 WHEATLEY AVECharlotte, NC 28205-7654
Mailing Address3430 Wheatley AveCharlotte, NC 28205-7654 · (704) 591-2026 · Fax (704) 336-6559
Fax(704) 336-6559
Sole ProprietorNo
Enumeration DateFebruary 1, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1184761520 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
License Licensed in NC · 944
3430 WHEATLEY AVE, Charlotte, NC 28205

Other Identifiers 1

Medicaid6111873NC

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor
3430 WHEATLEY AVE
CHARLOTTE, NC 28205
Community/Behavioral Health
3430 WHEATLEY AVE
CHARLOTTE, NC 28205

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 Tracy Klucina's NPI number?

The NPI number for Tracy Klucina is 1184761520. It was assigned to this individual provider in the NPPES registry on February 1, 2007.

Where is Tracy Klucina located?

Tracy Klucina practices at 3430 Wheatley Ave, Charlotte, NC 28205. The listed phone number is (704) 591-2026.

What is Tracy Klucina'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 Tracy Klucina was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.