Bourne, Tracey R

Bourne, Tracey R is an sole proprietor health care provider with primary practice located at 13575 58Th St N Ste 188 , Clearwater FL 33760-3741. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Bourne, Tracey R can be contacted via phone (727) 314-1224.

Contact Information

Primary practice address
13575 58Th St N Ste 188 Clearwater FL 33760-3741
Phone: (727) 314-1224
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X MH11645 Florida
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X MH11645 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH11645 Florida

Profile Details

NPI number 1174943526
LBN Legal business name Bourne, Tracey R
Credentials L.M.H.C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 24th, 2014
Last updated Oct 16th, 2023 - about 3 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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