TRACEY MACK
NPI 1245756121
Counselor - Professional in Glen Burnie, MD
- Individual
- Female
- Counselor
- Professional
About TRACEY MACK
This page provides the complete NPI Profile along with additional information for Tracey Mack, a provider established in Glen Burnie, Maryland with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1245756121 assigned on August 2017. The practitioner's primary taxonomy code is 101YP2500X with license number LC8066 (MD). The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1245756121 Verify this NPI
- Provider Name
- TRACEY MACK
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1406 CRAIN HWY S STE 104 GLEN BURNIE, MD 21061
- Location Phone
- (410) 766-6624
- Mailing Address
- 1406 CRAIN HWY S STE 104 GLEN BURNIE, MD 21061
- Mailing Phone
- (410) 766-6624
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-22-2017
- Last Update Date
- 07-21-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- LC8066
- License State
- MD
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | LC8066 (MD) |
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Other Providers at the Same Location
The following 9 providers are registered at the same or a nearby location.
GLEN BURNIE, MD 21061
GLEN BURNIE, MD 21061
GLEN BURNIE, MD 21061
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245756121, enumerated as an "individual" on August 22, 2017.
The provider is located at 1406 CRAIN HWY S STE 104 GLEN BURNIE, MD 21061 and the phone number is (410) 766-6624.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
