Provider Demographics
NPI:1497201388
Name:HOLCOMBE, TRACY MELISSA (LCSW)
Entity Type:Individual
Prefix:DR
First Name:TRACY
Middle Name:MELISSA
Last Name:HOLCOMBE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 435
Mailing Address - Street 2:
Mailing Address - City:RINGGOLD
Mailing Address - State:GA
Mailing Address - Zip Code:30736-0435
Mailing Address - Country:US
Mailing Address - Phone:423-718-7562
Mailing Address - Fax:
Practice Address - Street 1:7831 NASHVILLE ST
Practice Address - Street 2:
Practice Address - City:RINGGOLD
Practice Address - State:GA
Practice Address - Zip Code:30736-2360
Practice Address - Country:US
Practice Address - Phone:423-718-7562
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-30
Last Update Date:2016-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0041451041C0700X
TNLSW00000059531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical