Provider Demographics
NPI:1578066635
Name:MCQUARTER-COVERT, TRACY COLLEEN (LPCC, CRC)
Entity Type:Individual
Prefix:
First Name:TRACY
Middle Name:COLLEEN
Last Name:MCQUARTER-COVERT
Suffix:
Gender:F
Credentials:LPCC, CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:671 W HIGHWAY 80 STE 2
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:KY
Mailing Address - Zip Code:42503-1713
Mailing Address - Country:US
Mailing Address - Phone:606-219-5455
Mailing Address - Fax:
Practice Address - Street 1:671 W HIGHWAY 80 STE 2
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:KY
Practice Address - Zip Code:42503-1713
Practice Address - Country:US
Practice Address - Phone:606-219-5545
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-15
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY240311101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional