Provider Demographics
NPI:1467992024
Name:LIANG, TRACY LU (LMHC)
Entity Type:Individual
Prefix:MS
First Name:TRACY
Middle Name:LU
Last Name:LIANG
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2846 STILLWELL AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11224-2624
Mailing Address - Country:US
Mailing Address - Phone:718-975-4888
Mailing Address - Fax:718-975-2286
Practice Address - Street 1:2846 STILLWELL AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11224-2624
Practice Address - Country:US
Practice Address - Phone:718-975-4888
Practice Address - Fax:718-975-2286
Is Sole Proprietor?:No
Enumeration Date:2017-03-02
Last Update Date:2019-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010091101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health