TRACY L. HADLOCK (NPI# 1104265628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104265628 |
| Entity Type | Individual |
| Full Name | TRACY L. HADLOCK |
| Practice Address |
1350 Us Highway 62 W Princeton KY 42445-6106 |
| Mailing Address |
Po Box 614 3999 Ft. Campbell Blvd. Hopkinsville KY 42241-0614 |
| Practice Telephone | 2703652008 |
| Practice Fax Number | 2703652009 |
| Mailing Telephone | 2708862205 |
| Mailing Fax Number | 2708860392 |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2013-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
02272013 | KY | Behavioral Health & Social Service Providers |
| Street Address |
1350 US HIGHWAY 62 W |
| City | PRINCETON |
| State | KY |
| Zip Code | 42445-6106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972686996 | Molly Brown Moller | Case Manager/Care Coordinator | 1350 Us Highway 62 W, Princeton, KY 42445-6106 | 2006-10-23 |
| 1649732975 | Teresa Gail Warren | Case Manager/Care Coordinator | 1350 Us Highway 62 W, Princeton, KY 42445-6106 | 2019-04-04 |
| 1588122634 | Victoria Gray | Social Worker | 1350 Us Highway 62 W, Princeton, KY 42445-6106 | 2019-03-07 |
| 1760940811 | Hannah Gayle Davis | Case Manager/Care Coordinator | 1350 Us Highway 62 W, Princeton, KY 42445-6106 | 2019-03-07 |
| 1578049854 | Jessica Dawn Wade | Case Manager/Care Coordinator | 1350 Us Highway 62 W, Princeton, KY 42445-6106 | 2018-07-19 |
| 1144733197 | Rebecca Sue Porter | Counselor | 1350 Us Highway 62 W, Princeton, KY 42445-6106 | 2017-11-13 |
| 1184150575 | Molly Thomas | Case Manager/Care Coordinator | 1350 Us Highway 62 W, Princeton, KY 42445-6106 | 2017-05-04 |
| 1538511209 | Sara Elisabeth Tittle | Social Worker | 1350 Us Highway 62 W, Princeton, KY 42445-6106 | 2016-07-06 |
| 1134309016 | Sonja Lee Ramey | Social Worker | 1350 Us Highway 62 W, Princeton, KY 42445-6106 | 2007-11-08 |
| 1932309697 | Shandi Lynne Damron | Social Worker | 1350 Us Highway 62 W, Princeton, KY 42445 | 2007-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104451962 | Margaret O Cartwright | Speech-Language Pathologist | 414 Stephens Rd., Princeton, KY 42445 | 2020-03-11 |
| 1467878512 | Genesis Health Care | Skilled Nursing Facility | 11524 Dawson Road, Princeton, KY 42445 | 2014-03-13 |
| 1639353741 | Princeton Family Care, Pllc | Nurse Practitioner | 323 C South Jefferson St, Princeton, KY 42445 | 2007-12-26 |
| 1285720979 | Vicki Jean Simms | Pharmacist | 550 U.S. Hwy 62 West, Princeton, KY 42445 | 2006-10-04 |
| 1568557031 | E. W. James and Sons, Inc | Pharmacy | 550 U. S. Hwy 62 West, Princeton, KY 42445 | 2006-10-03 |
| 1285648824 | Sylvia Lynn Mccarty | Social Worker | 1350 Hwy 62 West, Princeton, KY 42445 | 2006-07-28 |
| 1497157341 | App of Kentucky Ed, Pllc | Physician Assistant | 100 Medical Center Dr, Princeton, KY 42445 | 2014-09-23 |
| 1902238496 | Luis Felipe Miranda | Dentist | 406 W Washington St, Princeton, KY 42445 | 2013-08-06 |
| 1851486708 | Caldwell County Hospital Inc | Medicare Defined Swing Bed Unit | 101 Hospital Dr, Princeton, KY 42445 | 2006-10-04 |
| 1417054032 | Barbara L Hickman | Nurse Practitioner | 302 Micbeth Drive, Princeton, KY 42445 | 2006-09-17 |
| Find all providers in zip 42445 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746254 | April Music | Counselor | 214 Island Way, Princeton, TX 75407-5486 | 2020-10-04 |
| 1720694797 | Smita Chopra | Counselor | 932 State Rd, Princeton, Nj 08540, Princeton, NJ 08540-0854 | 2020-09-16 |
| 1952928012 | Alice Fadiora | Counselor | 261 Washington Rd, Princeton, NJ 08540-6407 | 2020-07-06 |
| 1801412028 | Kaily Marie Moore | Counselor | 1507 Wilderness St, Princeton, TX 75407-0675 | 2020-06-23 |
| 1376180679 | Pretgraf | Counselor | 103 Carnegie Ctr Ste 104, Princeton, NJ 08540-6235 | 2019-12-05 |
| 1215596440 | Karla Carey | Counselor | 400 S 2nd St Ste 125, Princeton, MN 55371-1878 | 2019-06-11 |
| 1093275893 | Siobhan Strickhart | Counselor | 213 Commons Way, Princeton, NJ 08540-1508 | 2019-03-20 |
| 1235614629 | Erica Tate | Counselor | 500 Brant Dr, Princeton, LA 71067-9332 | 2018-10-01 |
| 1821500422 | Jennifer Marshall | Counselor | 245 Nassau St Unit C, Princeton, NJ 08540-4600 | 2017-11-04 |
| 1376053009 | Julia Ann Gollas | Counselor | 103 Carnegie Ctr Ste 258, Princeton, NJ 08540-6235 | 2017-10-09 |
| Find all providers in PRINCETON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.