TRACY MARSHALL NPI 1942665567

NPI Information

  • NPI: 1942665567
  • Provider Name: TRACY MARSHALL
  • Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
  • Entity Type: Individual
  • Address: 255 GRIMES RD
    WOODSTOCK, GA
    ZIP 30188
  • Phone: (678) 366-6050

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NPI Details

Tracy Marshall is a community based residential treatment facility, intellectual and/or developmental disabilities in Woodstock, GA. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. Tracy Marshall NPI is 1942665567. 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:

255 GRIMES RD
WOODSTOCK, GA
ZIP 30188-725
Phone: (678) 366-6050
Fax: (678) 366-6051

The enumeration date for this NPI number is 12/25/2015 and was last updated on 12/25/2015.

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
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities320900000XGEORGIAYes

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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