Treacy, Tracy

Treacy, Tracy is an sole proprietor health care provider with primary practice located at 2568 N Dr Martin Luther King Dr , Milwaukee WI 53212-2710. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Treacy, Tracy can be contacted via phone (414) 265-0300.

Contact Information

Primary practice address
2568 N Dr Martin Luther King Dr Milwaukee WI 53212-2710
Phone: (414) 265-0300
Fax: (414) 265-0200
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 2555-125 Wisconsin
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 2555125 Wisconsin
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2555-125 Wisconsin

Profile Details

NPI number 1114066552
LBN Legal business name Treacy, Tracy
Credentials M.S,, LPC, CADC-1
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 5th, 2007
Last updated Jul 9th, 2007 - about 19 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 1114066552 NPPES
Wisconsin Other 2161 PROVIDER # WISER CHOICE
Wisconsin MEDICAID 43585300 PROVIDER # WISER CHOICE

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