Hillard, Tracie Lynn
Hillard, Tracie Lynn is an sole proprietor health care provider with primary practice located at 208 Malloy St Ste E , Goldsboro NC 27534-4478. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Hillard, Tracie Lynn can be contacted via phone (919) 778-5594.Contact Information
Primary practice address
208 Malloy St Ste E
Goldsboro NC 27534-4478
Phone: (919) 778-5594
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 4510 | North Carolina |
Profile Details
| NPI number | 1376735928 |
|---|---|
| LBN Legal business name | Hillard, Tracie Lynn |
| Credentials | M.S., M.DIV., LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 16th, 2007 |
| Last updated | Jul 31st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376735928 | NPPES |
| North Carolina | MEDICAID | 6103678 |
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