Casanova, Tracy

Casanova, Tracy is an individual health care provider with primary practice located at 3405 Mike Padgett Hwy , Augusta GA 30906. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Casanova, Tracy can be contacted via phone (706) 790-7085.

Contact Information

Primary practice address
3405 Mike Padgett Hwy Augusta GA 30906
Phone: (706) 790-7085
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY004139 Georgia

Profile Details

NPI number 1548781453
LBN Legal business name Casanova, Tracy
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2017
Last updated Sep 18th, 2019 - about 7 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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