Wyatt, Tracey

Wyatt, Tracey is an individual health care provider with primary practice located at 165 E Dougherty St , Athens GA 30601-2608. She 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 / Professional is her primary health care specialty. Wyatt, Tracey can be contacted via phone (706) 542-9700.

Contact Information

Primary practice address
165 E Dougherty St Athens GA 30601-2608
Phone: (706) 542-9700
Fax: (706) 227-7249
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X APC001877 Georgia
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC006178 Georgia

Profile Details

NPI number 1851530786
LBN Legal business name Wyatt, Tracey
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2009
Last updated Oct 12th, 2010 - about 16 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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