| Tracy Cross Lpc Llc | |
|
3910 Caughey Rd Ste 200 Erie PA 16506-4098 | |
| (814) 480-9227 | |
| (814) 616-7439 |
| Full Name | Tracy Cross Lpc Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 3910 Caughey Rd Ste 200, Erie, Pennsylvania |
| Authorized Official Name and Position | Tracy Cross (OWNER) |
| Authorized Official Contact | 8144809227 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy Cross Lpc Llc 3910 Caughey Rd Ste 200 Erie PA 16506-4098 Ph: (814) 480-9227 | Tracy Cross Lpc Llc 3910 Caughey Rd Ste 200 Erie PA 16506-4098 Ph: (814) 480-9227 |
| NPI Number | 1609567635 |
|---|---|
| Provider Enumeration Date | 05/19/2023 |
| Last Update Date | 05/21/2023 |
| Certification Date | 05/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609567635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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