Provider Demographics
NPI:1447577796
Name:REED, TRACY ABNER (LPC)
Entity Type:Individual
Prefix:MRS
First Name:TRACY
Middle Name:ABNER
Last Name:REED
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8808 DARCY HOPKINS DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-0287
Mailing Address - Country:US
Mailing Address - Phone:704-849-9791
Mailing Address - Fax:
Practice Address - Street 1:8808 DARCY HOPKINS DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-0287
Practice Address - Country:US
Practice Address - Phone:704-849-9791
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-27
Last Update Date:2010-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4371101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional