Provider Demographics
NPI:1386220275
Name:MCGINLEY-BROOKS, TRACY JANE (BS, QP)
Entity Type:Individual
Prefix:
First Name:TRACY
Middle Name:JANE
Last Name:MCGINLEY-BROOKS
Suffix:
Gender:F
Credentials:BS, QP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:223 E CHESTNUT ST STE 4
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-2480
Mailing Address - Country:US
Mailing Address - Phone:828-400-6299
Mailing Address - Fax:828-484-4912
Practice Address - Street 1:2 COMPTON DRIVE
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-2054
Practice Address - Country:US
Practice Address - Phone:828-254-5356
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-22
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLCMHCA-17462101YM0800X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health