MS. TRACY ROBERSON LPC NPI 1568865756

NPI Information

NPI: 1568865756
Provider Name: MS. TRACY ROBERSON, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
4150 SNAPFINGER WOODS DRIVE
DECATUR, GA
ZIP 30035
Phone: (678) 674-6755
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MS. Tracy Roberson, LPC is a professional counselor in Decatur, GA. MS. Tracy Roberson, LPC NPI is 1568865756. 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:

4150 SNAPFINGER WOODS DRIVE
DECATUR, GA
ZIP 30035
Phone: (678) 674-6755

The enumeration date for this NPI number is 10/1/2014 and was last updated on 2/14/2015.

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
1	101YP2500X	Counselor	Professional	007786	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	003155334A	MEDICAID	GEORGIA

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: 4/28/2024

NPI Synchronization or Removal

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