Racki, Michael R

Racki, Michael R is an individual health care provider with primary practice located at 122 Edgewood Dr , Hendersonville TN 37075-4209. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Racki, Michael R can be contacted via phone (615) 487-3958.

Contact Information

Primary practice address
122 Edgewood Dr Hendersonville TN 37075-4209
Phone: (615) 487-3958
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 3450 Tennessee

Profile Details

NPI number 1225371917
LBN Legal business name Racki, Michael R
Credentials LPC-MHSP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2013
Last updated Apr 23rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225371917 NPPES
Tennessee Other 3450 STATE OF TENNESSEE

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