MRS. TRACY IRENETTE COOPER LCAS A NPI 1639660905

NPI Information

  • NPI: 1639660905
  • Provider Name: MRS. TRACY IRENETTE COOPER, LCAS A
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 130 JONES RD
    ROCKY MOUNT, NC
    ZIP 27804
  • Phone: (252) 443-0480

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NPI Details

MRS. Tracy Irenette Cooper, LCAS A is an addiction (substance use disorder) counselor in Rocky Mount, NC. MRS. Tracy Irenette Cooper, LCAS A NPI is 1639660905. 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:

130 JONES RD
ROCKY MOUNT, NC
ZIP 27804
Phone: (252) 443-0480

The enumeration date for this NPI number is 5/22/2018 and was last updated on 6/1/2018.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)15432NORTH CAROLINAYes

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: 11/21/2025

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