| Tracy Relational Institute, Llc | |
|
25 S 15th St Suite 2 Council Bluffs IA 51501-3900 | |
| (712) 310-7116 | |
| Not Available |
| Full Name | Tracy Relational Institute, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 25 S 15th St, Council Bluffs, Iowa |
| Authorized Official Name and Position | John Robert Tracy (OWNER/THERAPIST) |
| Authorized Official Contact | 7123107116 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy Relational Institute, Llc 25 S 15th St Suite 2 Council Bluffs IA 51501-3900 Ph: (712) 310-7116 | Tracy Relational Institute, Llc 25 S 15th St Suite 2 Council Bluffs IA 51501-3900 Ph: (712) 310-7116 |
| NPI Number | 1578919676 |
|---|---|
| Provider Enumeration Date | 05/06/2016 |
| Last Update Date | 05/06/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578919676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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