TRACEY LEANN TERRY LPCC NPI 1790961795

NPI Information

NPI: 1790961795
Provider Name: TRACEY LEANN TERRY, LPCC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
125 S MAIN CROSS ST
LOUISA, KY
ZIP 41230
Phone: (606) 638-0938
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Tracey Leann Terry, LPCC is a professional counselor in Louisa, KY. Tracey Leann Terry, LPCC NPI is 1790961795. 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:

125 S MAIN CROSS ST
LOUISA, KY
ZIP 41230-065
Phone: (606) 638-0938

The enumeration date for this NPI number is 1/21/2008 and was last updated on 3/21/2024.

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	104799	KENTUCKY	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	7100283500	MEDICAID	KENTUCKY
2	117986	OTHER		CAQH
3	000000689192	OTHER		ANTHEM BCBS

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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