Provider Demographics
NPI:1679501852
Name:NOTT, TRACY (MS, EDD, LPC)
Entity Type:Individual
Prefix:DR
First Name:TRACY
Middle Name:
Last Name:NOTT
Suffix:
Gender:F
Credentials:MS, EDD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6535 S DAYTON ST
Mailing Address - Street 2:SUITE 3800
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-6125
Mailing Address - Country:US
Mailing Address - Phone:303-792-9418
Mailing Address - Fax:303-649-9008
Practice Address - Street 1:6535 S DAYTON ST
Practice Address - Street 2:SUITE 3800
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-6125
Practice Address - Country:US
Practice Address - Phone:303-792-9418
Practice Address - Fax:303-649-9008
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO173101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health