Provider Demographics
NPI:1376104885
Name:TRAC ASSOCIATES
Entity Type:Organization
Organization Name:TRAC ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHERRY
Authorized Official - Middle Name:S
Authorized Official - Last Name:FALK
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LMHC
Authorized Official - Phone:206-443-9999
Mailing Address - Street 1:215 6TH AVE N # 100
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109-5005
Mailing Address - Country:US
Mailing Address - Phone:206-443-9999
Mailing Address - Fax:206-443-9079
Practice Address - Street 1:215 6TH AVE N # 100
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109-5005
Practice Address - Country:US
Practice Address - Phone:206-443-9999
Practice Address - Fax:206-443-9079
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-25
Last Update Date:2019-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management