Garrett, Tracie R

Garrett, Tracie R is an sole proprietor health care provider with primary practice located at 4911 N Portland Ave , Oklahoma City OK 73112-6171. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Garrett, Tracie R can be contacted via phone (405) 751-0800.

Contact Information

Primary practice address
4911 N Portland Ave Oklahoma City OK 73112-6171
Phone: (405) 751-0800
Fax: (405) 751-6488
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0966450804 Oklahoma
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 691 Oklahoma

Profile Details

NPI number 1487770061
LBN Legal business name Garrett, Tracie R
Credentials M.S., LADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 22nd, 2007
Last updated Sep 22nd, 2020 - about 5 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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