Johnson, Tracey L
Johnson, Tracey L is an sole proprietor health care provider with primary practice located at 6009 Squire Ct #1, Memphis TN 38115-3226. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Johnson, Tracey L can be contacted via phone (901) 396-9007.Contact Information
Primary practice address
6009 Squire Ct #1
Memphis TN 38115-3226
Phone: (901) 396-9007
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 61252 | Tennessee |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 2331 | Tennessee |
Profile Details
| NPI number | 1124168877 |
|---|---|
| LBN Legal business name | Johnson, Tracey L |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 8th, 2007 |
| Last updated | Sep 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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