Powney, Tracie Michelle

Powney, Tracie Michelle is an sole proprietor health care provider with primary practice located at 1107 W Bay Dr Nw Suite 102, Olympia WA 98502-4668. She recently has 6 registered licenses in different health care specialties including Other Service Providers / Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mental Health, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Powney, Tracie Michelle can be contacted via phone (360) 791-9336.

Contact Information

Primary practice address
1107 W Bay Dr Nw Suite 102 Olympia WA 98502-4668
Phone: (360) 791-9336
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X OT00003125 Washington
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mental Health 225XM0800X OT 00003125 Washington
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT 00003125 Washington
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MC 60556138 Washington
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MG 60565629 Washington
Behavioral Health & Social Service Providers / Counselor 101Y00000X MC 60556138 Washington
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LH60724718 Washington

Profile Details

NPI number 1871794891
LBN Legal business name Powney, Tracie Michelle
Credentials OTRL, LMHC, LMFTA
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 29th, 2007
Last updated Jan 11th, 2017 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1871794891 NPPES
Washington MEDICAID 8341315

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