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TRACY HUMPHREY CIT
NPI 1750762969
Counselor - Addiction (Substance Use Disorder) in Russellville, AR

Active since June 12, 2015
400 LAKE FRONT DR, RUSSELLVILLE, AR 72802(479) 968-7086(479) 968-4331 Get Directions Write a Review

NPPES record last updated: June 12, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tracy Humphrey Cit NPPES

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

TRACY HUMPHREY CIT (NPI 1750762969) is an individual addiction (substance use disorder) provider in Russellville, Arkansas and active in the NPI registry since June 2015.

NPPES Registry Identity

NPI1750762969
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameTRACY HUMPHREYCredential: CIT
Location Address400 LAKE FRONT DRRussellville, AR 72802-2206
Mailing AddressPo Box 1463Russellville, AR 72811-1463 · (479) 968-7086 · Fax (479) 968-7225
Phone(479) 968-7086
Fax(479) 968-4331
Sole ProprietorYes
Enumeration DateJune 12, 2015
✔ NPI 1750762969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
400 LAKE FRONT DR, Russellville, AR 72802
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VICTOR ROBLE CIT
Rehabilitation Counselor
400 LAKE FRONT DR
RUSSELLVILLE, AR 72802
Pope County (479) 968-7086
GRACE RIDEOUT CIT
Counselor (Addiction (Substance Use Disorder))
400 LAKE FRONT DR
RUSSELLVILLE, AR 72802
Pope County (479) 968-7086

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 Humphrey's NPI number?

The NPI number for Tracy Humphrey is 1750762969. It was assigned to this individual provider in the NPPES registry on June 12, 2015.

Where is Tracy Humphrey located?

Tracy Humphrey practices at 400 Lake Front Dr, Russellville, AR 72802. The listed phone number is (479) 968-7086.

What is Tracy Humphrey's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Tracy Humphrey was last updated on June 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.