TRACY MAZIQUE MCC
NPI 1629342704
Counselor - Mental Health in Philadelphia, PA
About Tracy Mazique Mcc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRACY MAZIQUE MCC (NPI 1629342704) is an individual mental health provider in Philadelphia, Pennsylvania and active in the NPI registry since March 2012.
NPPES Registry Identity
Specialties & Licenses
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 Mazique's NPI number?
The NPI number for Tracy Mazique is 1629342704. It was assigned to this individual provider in the NPPES registry on March 7, 2012.
Where is Tracy Mazique located?
Tracy Mazique practices at 5856 Chew Ave, Philadelphia, PA 19138. The listed phone number is (215) 432-9830.
What is Tracy Mazique's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
When was this NPI record last updated?
The NPPES record for Tracy Mazique was last updated on March 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Tracy Mazique, MCC · NPI 1629342704
Mental Health provider in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since March 7, 2012.
## Identity
- **NPI:** 1629342704 (Entity type: Individual)
- **Enumerated:** March 7, 2012
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** No
## Practice location
- **Address:** 5856 CHEW AVE, Philadelphia, PA 19138-1736
- **Phone:** (215) 432-9830
## Record status
- **NPPES last updated:** March 7, 2012
---
Source: [NPI Profile](https://npiprofile.com/npi/1629342704) · Data from the CMS NPPES public registry.