Provider Demographics
NPI:1407224397
Name:TRACEY GALGOCI COUNSELING
Entity Type:Organization
Organization Name:TRACEY GALGOCI COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TRACEY
Authorized Official - Middle Name:LYN
Authorized Official - Last Name:GALGOCI
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:989-492-4279
Mailing Address - Street 1:1316 CENTER DR
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:MI
Mailing Address - Zip Code:48858-4104
Mailing Address - Country:US
Mailing Address - Phone:989-330-2738
Mailing Address - Fax:989-772-5901
Practice Address - Street 1:1316 CENTER DR
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:MI
Practice Address - Zip Code:48858-4104
Practice Address - Country:US
Practice Address - Phone:989-330-2738
Practice Address - Fax:989-772-5901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-09
Last Update Date:2015-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIL817276101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty