Porter, Tracie
Porter, Tracie is an sole proprietor health care provider with primary practice located at 15 W 10Th St , Columbus GA 31901-2744. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Porter, Tracie can be contacted via phone (706) 478-7708.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC008277 | Georgia |
Profile Details
| NPI number | 1952786204 |
|---|---|
| LBN Legal business name | Porter, Tracie |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 29th, 2015 |
| Last updated | Nov 19th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952786204 | NPPES |
| Georgia | MEDICAID | 003181835A |
Popular Providers
-
Scott, Roberta
2357 Warm Springs Rd Ste 127 , Columbus GA 31904-5668 -
Cawthorne, Kecia
6011 Round Hill Rd , Columbus GA 31904-2881 -
Groenewald, Lindsey
5638 Warm Springs Rd , Columbus GA 31909-2408 -
Roop, John F
2000 16Th Ave , Columbus GA 31901-1665 -
Tyler, Jessica Melendez
1214 1St Ave Ste 270 , Columbus GA 31901-4276 -
Elliot, Aleisha Martine
908 2Nd Ave , Columbus GA 31901-2716 -
Lyles, Juana
233 12Th St Ste 331 , Columbus GA 31901-2462 -
Mccann, James Brent
1200 Brookstone Centre Pkwy Ste 226 , Columbus GA 31904-2988