| Tracee Moss | |
|
3050 Southwind Trl Youngstown OH 44514-2880 | |
| (330) 953-1202 | |
| (330) 953-1204 |
| Full Name | Tracee Moss |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3050 Southwind Trl, Youngstown, Ohio |
| Authorized Official Name and Position | Tracee Moss (OWNER) |
| Authorized Official Contact | 3309531202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tracee Moss 3050 Southwind Trl Youngstown OH 44514-2880 Ph: (330) 953-1202 | Tracee Moss 3050 Southwind Trl Youngstown OH 44514-2880 Ph: (330) 953-1202 |
| NPI Number | 1588174304 |
|---|---|
| Provider Enumeration Date | 10/06/2017 |
| Last Update Date | 07/02/2024 |
| Certification Date | 06/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588174304 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | E.0004017-SUPV (Ohio) | Primary |
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