Becker, Tracy Lorraine

Becker, Tracy Lorraine is an sole proprietor health care provider with primary practice located at 134 Professional Park Dr Ste 400 , Mooresville NC 28117-5600. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Becker, Tracy Lorraine can be contacted via phone (704) 664-1009.

Contact Information

Primary practice address
134 Professional Park Dr Ste 400 Mooresville NC 28117-5600
Fax: (704) 664-1029
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 4403 North Carolina

Profile Details

NPI number 1902940877
LBN Legal business name Becker, Tracy Lorraine
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 16th, 2007
Last updated Oct 4th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902940877 NPPES
North Carolina MEDICAID 6103563
North Carolina Other 144VC

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