Moulton, Tracey

Moulton, Tracey is an individual health care provider with primary practice located at 14645 Nw 77Th Ave Ste 101 , Miami Lakes FL 33014-2569. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Moulton, Tracey can be contacted via phone (833) 769-3524.

Contact Information

Primary practice address
14645 Nw 77Th Ave Ste 101 Miami Lakes FL 33014-2569
Phone: (833) 769-3524
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH23302 Florida
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X 19-76571

Profile Details

NPI number 1043876758
LBN Legal business name Moulton, Tracey
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2019
Last updated Mar 11th, 2024 - about 2 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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