TRACEY W SELLERS
NPI 1366678187
Clinic/Center in Fort Mill, SC

Active since June 08, 2009
111 CLEBOURNE ST, SUITE 120, FORT MILL, SC 29715(803) 746-7313(803) 746-7332 Get Directions Write a Review

NPPES record last updated: June 8, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Tracey W Sellers NPPES

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

TRACEY W SELLERS (NPI 1366678187) is a healthcare organization registered as a clinic/center in Fort Mill, South Carolina and active in the NPI registry since June 2009. The organization lists Tracey Wynne Sellers, President, as its authorized official.

NPPES Registry Identity

NPI1366678187
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameTRACEY W SELLERS
Location Address111 CLEBOURNE ST, SUITE 120Fort Mill, SC 29715-1758
Mailing Address111 Clebourne St, Suite 120Fort Mill, SC 29715-1758 · (803) 746-7313 · Fax (803) 746-7332
Fax(803) 746-7332
Organization SubpartNo
Authorized OfficialTracey Wynne SellersPresident · (803) 746-7313
Enumeration DateJune 8, 2009
NPI 1366678187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License Licensed in SC · 3248
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

111 CLEBOURNE ST, Fort Mill, SC 29715

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Psychiatry & Neurology (Child & Adolescent Psychiatry)
111 CLEBOURNE ST, SUITE 110
FORT MILL, SC 29715
Chiropractor
111 CLEBOURNE ST, SUITE 120
FORT MILL, SC 29715
Counselor (Professional)
111 CLEBOURNE ST, SUITE 140
FORT MILL, SC 29715
Non-Pharmacy Dispensing Site
111 CLEBOURNE ST, SUITE 130
FORT MILL, SC 29715
Psychiatry & Neurology (Child & Adolescent Psychiatry)
111 CLEBOURNE ST, SUITE 110
FORT MILL, SC 29715
Behavior Technician
111 CLEBOURNE ST
FORT MILL, SC 29715

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366678187, enumerated as an "organization" on June 08, 2009.

The provider is located at 111 CLEBOURNE ST SUITE 120 FORT MILL, SC 29715 and the phone number is (803) 746-7313.

Clinic/Center with taxonomy code 261Q00000X.