Provider Demographics
NPI:1952453284
Name:NEMECEK, TRACY L (MA, LMHC)
Entity Type:Individual
Prefix:MS
First Name:TRACY
Middle Name:L
Last Name:NEMECEK
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2000 S WINTON ROAD
Mailing Address - Street 2:BUILDING 4, SUITE 200
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14618-5400
Mailing Address - Country:US
Mailing Address - Phone:585-444-8005
Mailing Address - Fax:585-672-9092
Practice Address - Street 1:2000 S WINTON ROAD
Practice Address - Street 2:BUILDING 4, SUITE 200
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618-5400
Practice Address - Country:US
Practice Address - Phone:585-444-8005
Practice Address - Fax:585-672-9092
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-17
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009028-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health