Tracey Bledsoe
Individual provider Active NPI Mental Health Counselor · Pulaski, TN
NPI 1609366343 · NPPES record last updated May 17, 2018
Key facts
- NPI
- 1609366343
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 1002 Brindley Dr
Pulaski, TN 38478-4705 - Phone
- (931) 363-5438
- NPI assigned
- May 17, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centerstone of Tennessee, Inc. | Past | Accepting new patients | |
| Centerstone of Tennessee, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
1002 Brindley Dr
Pulaski, TN 38478-4705
Mailing address
1002 Brindley Dr
Pulaski, TN 38478-4705
Other providers in Pulaski, TN
- Jerry Stephen Beasley
- Thomas M Bender
- Eleanor Bergstresser-Simpson
- Dana Hogan Besherse
- Big Creek Healthcare, Inc.
- Erica Lynn Blocker
- Lindsey Lee Braden
- Randi R Brady
- James William Brann
- Brian D. Jackson, DPM, LLC
All providers in Pulaski, TN · Mental Health Counselor in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.