| Tracy Carter Llc | |
|
17379 Hilltop Dr Purcellville VA 20132-3104 | |
| (703) 220-8563 | |
| Not Available |
| Full Name | Tracy Carter Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 17379 Hilltop Dr, Purcellville, Virginia |
| Authorized Official Name and Position | Tracy Carter (LPC) |
| Authorized Official Contact | 7032208563 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy Carter Llc 17379 Hilltop Dr Purcellville VA 20132-3104 Ph: (703) 220-8563 | Tracy Carter Llc 17379 Hilltop Dr Purcellville VA 20132-3104 Ph: (703) 220-8563 |
| NPI Number | 1073123089 |
|---|---|
| Provider Enumeration Date | 08/04/2020 |
| Last Update Date | 11/22/2020 |
| Certification Date | 11/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073123089 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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