LAUREN MICHELLE TRACY MA, PLPC
NPI 1396089454
Counselor - Professional in Cape Girardeau, MO
Active since November 15, 2012
2909 INDEPENDENCE ST, CAPE GIRARDEAU, MO 63703(573) 803-1402(573) 803-1405 Get Directions Write a Review
About Lauren Michelle Tracy Ma, Plpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAUREN MICHELLE TRACY MA, PLPC (NPI 1396089454) is an individual professional provider in Cape Girardeau, Missouri, licensed in Missouri (2012037841) and active in the NPI registry since November 2012.
NPPES Registry Identity
NPI1396089454
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameLAUREN MICHELLE TRACYCredential: MA, PLPC
Location Address2909 INDEPENDENCE STCape Girardeau, MO 63703-5044
Mailing Address2909 Independence StCape Girardeau, MO 63703-5044 · (573) 803-1402 · Fax (573) 803-1405
Phone(573) 803-1402
Fax(573) 803-1405
Sole ProprietorNo
Enumeration DateNovember 15, 2012
✔ NPI 1396089454 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 MO · 2012037841
2909 INDEPENDENCE ST, Cape Girardeau, MO 63703
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Professional)
2909 INDEPENDENCE ST
CAPE GIRARDEAU, MO 63703
CAPE GIRARDEAU, MO 63703
Counselor (Professional)
2909 INDEPENDENCE ST
CAPE GIRARDEAU, MO 63703
CAPE GIRARDEAU, MO 63703
Counselor (Professional)
2909 INDEPENDENCE ST
CAPE GIRARDEAU, MO 63703
CAPE GIRARDEAU, MO 63703
Counselor (Professional)
2909 INDEPENDENCE ST
CAPE GIRARDEAU, MO 63703
CAPE GIRARDEAU, MO 63703
Counselor (Professional)
2909 INDEPENDENCE ST
CAPE GIRARDEAU, MO 63703
CAPE GIRARDEAU, MO 63703
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396089454, enumerated as an "individual" on November 15, 2012.
The provider is located at 2909 INDEPENDENCE ST CAPE GIRARDEAU, MO 63703 and the phone number is (573) 803-1402.
Counselor with taxonomy code 101YP2500X and a focus in Professional.