Thomas, Tracy Wayne

Thomas, Tracy Wayne is an sole proprietor health care provider with primary practice located at 301 N Alamo Blvd , Marshall TX 75670-3455. He 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 / Counselor is his primary health care specialty. Thomas, Tracy Wayne can be contacted via phone (903) 407-9701.

Contact Information

Primary practice address
301 N Alamo Blvd Marshall TX 75670-3455
Phone: (903) 407-9701
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Professional 101YP2500X 19851 Texas
Behavioral Health & Social Service Providers / Counselor 101Y00000X 19851 Texas

Profile Details

NPI number 1932320942
LBN Legal business name Thomas, Tracy Wayne
Credentials ED.S., LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2007
Last updated Jun 26th, 2025 - about last year

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 1932320942 NPPES
Texas MEDICAID 1762403-01

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