Tracy Anthony, LPCA

Individual provider Active NPI Counselor · Greensboro, NC

NPI 1801219191 · NPPES record last updated Jan 23, 2014

Key facts

NPI
1801219191
Entity type
Individual (NPI type 1)
Primary specialty
Counselor 101Y00000X
License
A10329 (NC)
Practice address
301 S Elm St
Suite 413
Greensboro, NC 27401-2696
Phone
(336) 822-2827
NPI assigned
Jan 23, 2014
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
A10329NCMDCounselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X A10329 NC Yes

Addresses

Primary practice location

301 S Elm St
Suite 413
Greensboro, NC 27401-2696

Mailing address

815 Townsend Farm Dr
Browns Summit, NC 27214-9045

Other providers in Greensboro, NC

All providers in Greensboro, NC · Counselor in North Carolina

Sources for this page

Verify at the official NPI Registry.