Provider Demographics
NPI:1881901072
Name:ALBRIGHT, TRACY (LCSW/LADC)
Entity type:Individual
Prefix:
First Name:TRACY
Middle Name:
Last Name:ALBRIGHT
Suffix:
Gender:F
Credentials:LCSW/LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1975 PLEASANT RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73012-3294
Mailing Address - Country:US
Mailing Address - Phone:405-719-9862
Mailing Address - Fax:
Practice Address - Street 1:1975 PLEASANT RIDGE CT
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73012-3294
Practice Address - Country:US
Practice Address - Phone:405-719-9862
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-09
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1291101YA0400X
OK55781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)