Tracey, Michael P.
Tracey, Michael P. is an sole proprietor health care provider with primary practice located at 50 Brookside Rd , Waterbury CT 06708-1402. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Tracey, Michael P. can be contacted via phone (203) 568-7474.Contact Information
Primary practice address
50 Brookside Rd
Waterbury CT 06708-1402
Phone: (203) 568-7474
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / School | 101YS0200X | New York | |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1962256669 |
|---|---|
| LBN Legal business name | Tracey, Michael P. |
| Credentials | M.SC, LADC, LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 17th, 2024 |
| Last updated | Apr 17th, 2024 - 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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