TRACEE ANDERSON
NPI 1356805634
Counselor - Professional in Mount Clemens, MI
Active since January 30, 2019
About Tracee Anderson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRACEE ANDERSON (NPI 1356805634) is an individual professional provider in Mount Clemens, Michigan, licensed in Michigan (6401226210) and active in the NPI registry since January 2019.
NPPES Registry Identity
NPI1356805634
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameTRACEE ANDERSON
Location Address9 WOODSIDE CIRMount Clemens, MI 48043-2533
Mailing Address9 Woodside CirMount Clemens, MI 48043-2533 · (586) 801-2316
Phone(586) 801-2316
Sole ProprietorYes
Enumeration DateJanuary 30, 2019
Last NPPES UpdateMay 22, 20262 updates tracked since enumeration
NPPES CertifiedMay 22, 2026
✔ NPI 1356805634 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MI · 6401226210
9 WOODSIDE CIR, Mount Clemens, MI 48043
Other Identifiers 2
Other6401016987MI · Llpc
Other6401226210MI · Lpc
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1356805634, enumerated as an "individual" on January 30, 2019.
The provider is located at 9 WOODSIDE CIR MOUNT CLEMENS, MI 48043 and the phone number is (586) 801-2316.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
