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TRACY DIAN FOUNTAIN BHRS NPI 1194095273


NPI Information

NPI: 1194095273
Provider Name: TRACY DIAN FOUNTAIN, BHRS
Classification: Counselor - 101Y00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
27753 S WELLING RD
WELLING, OK
ZIP 74471
Phone: (918) 457-4999
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Tracy Dian Fountain, BHRS is a counselor in Welling, OK with 7 years of experience. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Tracy Dian Fountain, BHRS NPI is 1194095273. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

27753 S WELLING RD
WELLING, OK
ZIP 74471-202
Phone: (918) 457-4999
Fax: (918) 457-4104

The NPI 1194095273 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 1/6/2012 and was last updated on 1/6/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselorYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.