| Therapeutic Services Of Tracy Carter, M.s., L.c.p.c., L.l.c. | |
|
507 West Dr Severna Park MD 21146-2623 | |
| (410) 598-3186 | |
| Not Available |
| Full Name | Therapeutic Services Of Tracy Carter, M.s., L.c.p.c., L.l.c. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 507 West Dr, Severna Park, Maryland |
| Authorized Official Name and Position | Tracy Ellen Carter (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 4105983186 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapeutic Services Of Tracy Carter, M.s., L.c.p.c., L.l.c. 58 Girth Ln Shenandoah Junction WV 25442-4032 Ph: (410) 598-3186 | Therapeutic Services Of Tracy Carter, M.s., L.c.p.c., L.l.c. 507 West Dr Severna Park MD 21146-2623 Ph: (410) 598-3186 |
| NPI Number | 1326105263 |
|---|---|
| Provider Enumeration Date | 01/02/2007 |
| Last Update Date | 05/10/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326105263 | NPI | - | NPPES |
| 274772 | Other | MD | COMPSYCH |
| 409607000 | Medicaid | MD | |
| 4969-0001 | Other | MD | BCBS FEDERAL |
| 100094884 | Other | MD | AMERICAN PSYCH SYSTEMS |
| 17PKTH | Other | MD | BCBS LOCAL |
| 4969-0001 | Other | MD | BCBS BLUECHOICE |
| 7607810 | Other | MD | AETNA |
| 391360 | Other | MD | MHN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LC2125 (Maryland) | Primary |
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