Tracy Lee Adams, LPC
Individual provider Active NPI Mental Health Counselor · Warsaw, MO
NPI 1669729919 · NPPES record last updated Sep 25, 2019
Key facts
- NPI
- 1669729919
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 2012024653 (MO)
- Practice address
- 17571 N Dam Access Rd
Warsaw, MO 65355-6396 - Phone
- (660) 428-1280
- NPI assigned
- Aug 6, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012024653 | MO | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2012024653 | MO | Yes |
Addresses
Primary practice location
17571 N Dam Access Rd
Warsaw, MO 65355-6396
Mailing address
1800 Community
Clinton, MO 64735-8804
Phone (660) 885-8131
Other providers in Warsaw, MO
- Achieving Lifeskills @ Mo LLC
- Murphy Affolder
- Anew Healthcare Operations - Warsaw, LLC
- Aspire Senior Living Warsaw LLC
- Back in Action Chiropractic LLC
- Erika Jean Bauer
All providers in Warsaw, MO · Mental Health Counselor in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2019. 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.