Tracy Stubblefield Llc

LBN: Tracy Stubblefield Llc
Tracy Stubblefield Llc is an health care organization with primary practice located at 9701 Apollo Dr Suite 441, Largo MD 20774-4783. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Tracy Stubblefield Llc can be contacted via phone (240) 764-6892, or through Stubblefield, Tracy R via phone (240) 764-6892.

Contact Information

Primary practice address
9701 Apollo Dr Suite 441 Largo MD 20774-4783
Phone: (240) 764-6892
Fax: (240) 764-6741
Website:
Map and Directions
Authorized official contact:
Name: Stubblefield, Tracy R MSW
Phone: (240) 764-6892

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 15332 Maryland

Profile Details

NPI number 1346557402
LBN Legal business name Tracy Stubblefield Llc
DBA Doing business as
Authorized official Stubblefield, Tracy R MSW
Entity Organization
Organization subpart 1 No
Enumeration date Sep 9th, 2010
Last updated Nov 7th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346557402 NPPES
Maryland Other 15332 LICENSE # 15332

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