| Tracy Ulrich, Llc | |
|
138 S Main St Hardwick VT 05843-7046 | |
| (802) 730-6539 | |
| Not Available |
| Full Name | Tracy Ulrich, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 138 S Main St, Hardwick, Vermont |
| Authorized Official Name and Position | Tracy L Ulrich (LICENSED MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 8027306539 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy Ulrich, Llc 282 Elmore Pond Rd Wolcott VT 05680-4033 Ph: (802) 730-6539 | Tracy Ulrich, Llc 138 S Main St Hardwick VT 05843-7046 Ph: (802) 730-6539 |
| NPI Number | 1316652100 |
|---|---|
| Provider Enumeration Date | 01/17/2023 |
| Last Update Date | 01/17/2023 |
| Certification Date | 01/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316652100 | NPI | - | NPPES |
| 1012555 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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