Amanda Elise Tracy, LMHC | |
220 N Ballston Ave, Scotia, NY 12302-2533 | |
(518) 374-3514 | |
Not Available |
Full Name | Amanda Elise Tracy |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 220 N Ballston Ave, Scotia, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881284099 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Samaritan Licensed Clinical Social Work Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841396884 PECOS PAC ID: 7214280049 Enrollment ID: O20181025000131 |
Mailing Address | Practice Location Address |
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Amanda Elise Tracy, LMHC 220 N Ballston Ave, Scotia, NY 12302-2533 Ph: (518) 374-3514 | Amanda Elise Tracy, LMHC 220 N Ballston Ave, Scotia, NY 12302-2533 Ph: (518) 374-3514 |
Ms. Rachel Christine Bradley, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 6th St, Scotia, NY 12302 Phone: 518-588-5047 | |
Nicole Shea, Counselor Medicare: Not Enrolled in Medicare Practice Location: 220 N Ballston Ave, Scotia, NY 12302 Phone: 518-374-3514 | |
Erin Belanger, ERIN BELANGER, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 220 N Ballston Ave, Scotia, NY 12302 Phone: 518-374-3514 | |
Patrick Sheehan, MHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 220 N Ballston Ave, Scotia, NY 12302 Phone: 518-374-3278 | |
Stephen Dukenski, MHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 220 N Ballston Ave, Scotia, NY 12302 Phone: 518-374-3514 | |
Mrs. Kate Sutherland, MHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 220 N Ballston Ave, Scotia, NY 12302 Phone: 518-374-3514 Fax: 518-374-9193 | |
Miss Deborah A Sprague, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 220 N Ballston Ave, Scotia, NY 12302 Phone: 518-374-3514 Fax: 518-374-9193 |