MR. TRACY LEE MARSHALL (NPI# 1285898700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285898700 |
| Entity Type | Individual |
| Full Name | MR. TRACY LEE MARSHALL |
| Credential | LPC, LMFT |
| Practice Address |
2153 E Joyce Blvd Fayetteville AR 72703-4714 |
| Practice Telephone | 4795759741 |
| Mailing Telephone | 4795759741 |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2011-09-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
P0803029 | AR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | LPC & LAMFT | P0803029 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619414067 | Tracy Marshall | Licensed Practical Nurse | 6081 Brofield Dr, Hamilton, OH 45011-5154 | 2017-01-24 |
| 1942665567 | Tracy Marshall | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 255 Grimes Rd, Woodstock, GA 30188-6725 | 2015-12-25 |
| 1245627553 | Tracy Marshall | Licensed Practical Nurse | 112 N. Reservation Rd, Mcdermitt, NV 89421 | 2015-04-24 |
| 1538313101 | Tracy Jones Marshall | Licensed Practical Nurse | 940 Highway 96 Ste A, Warner Robins, GA 31088-2587 | 2008-11-10 |
| 1114463965 | Tracy Marshall | Social Worker | 930 W Harris St, Eureka, CA 95503-3927 | 2017-01-17 |
| 1316206089 | Tracy A Marshall | Case Manager/Care Coordinator | 4 S Main St, Fall River, MA 02721-5327 | 2012-05-15 |
| 1114117884 | Tracy Marshall | Counselor | 28545 Highway 18, Skyforest, CA 92385-0578 | 2007-07-30 |
| 1386852531 | Tracy Marshall | Physical Therapy Assistant | 1941 Savage Rd, Suite 400c, Charleston, SC 29407-4704 | 2007-05-20 |
| 1497863625 | Tracy Marshall | Speech-Language Pathologist | 5645 Main St, Flushing, NY 11355-5045 | 2006-08-28 |
| Street Address |
2153 E JOYCE BLVD |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72703-4714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326686619 | Demarcus G Wiggins | Case Manager/Care Coordinator | 2153 E Joyce Blvd, Fayetteville, AR 72703-4714 | 2019-12-17 |
| 1649812355 | Stacy M Lee | Case Manager/Care Coordinator | 2153 E Joyce Blvd, Fayetteville, AR 72703-4714 | 2019-10-14 |
| 1306494182 | Holly Womack-nelson | Case Manager/Care Coordinator | 2153 E Joyce Blvd, Fayetteville, AR 72703-4714 | 2019-08-26 |
| 1386290443 | Wade Peter Freund | Counselor | 2153 E Joyce Blvd, Fayetteville, AR 72703-4714 | 2019-08-14 |
| 1356811046 | Jennifer Jane Cook | Counselor | 2153 E Joyce Blvd, Fayetteville, AR 72703-4714 | 2018-11-26 |
| 1073095451 | Rachel Riggs | Case Manager/Care Coordinator | 2153 E Joyce Blvd, Fayetteville, AR 72703-4714 | 2018-09-03 |
| 1609356245 | Katie Davis | Case Manager/Care Coordinator | 2153 E Joyce Blvd, Fayetteville, AR 72703-4714 | 2018-08-14 |
| 1467931204 | Elizabeth Evans Mongeau | Counselor | 2153 E Joyce Blvd, Fayetteville, AR 72703-4714 | 2018-08-13 |
| 1730687997 | Addie Stipp | Counselor | 2153 E Joyce Blvd, Fayetteville, AR 72703-4714 | 2018-01-23 |
| 1932610524 | Breanne Gilchrist | Social Worker | 2153 E Joyce Blvd, Fayetteville, AR 72703-4714 | 2017-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154391 | Margaret Sorrells | Pharmacist | 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 | 2020-11-06 |
| 1497369631 | Justin A Rand | Massage Therapist | 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 | 2020-09-04 |
| 1235777558 | Washington Regional Medical System | Specialist | 3264 N North Hills Blvd, Fayetteville, AR 72703 | 2019-12-17 |
| 1760024582 | Haley Brooke Thompson | Occupational Therapist | 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 | 2019-10-14 |
| 1306492129 | Bhg L, LLC | Clinic/Center | 8 Colt Square Drive, Fayetteville, AR 72703 | 2019-08-16 |
| 1306406269 | Idell Marie Mitchell | Optometrist | Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 | 2019-06-13 |
| 1821574815 | Toni Myer | Nurse Practitioner | 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 | 2018-07-13 |
| 1306340393 | Josh Kelfer | Student in an Organized Health Care Education/Training Program | 1125 North College Avenue, Fayetteville, AR 72703 | 2018-03-22 |
| 1649726449 | Vantage Point of Nwa | Community/Behavioral Health | 4171 N. Crossover Rd, Fayetteville, AR 72703 | 2016-08-31 |
| 1386097137 | Jason Nordstrom | Speech-Language Pathologist | 2664 N Valencia Ave, Fayetteville, AR 72703 | 2016-07-18 |
| Find all providers in zip 72703 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841899986 | Cynthia Hrdlichka | Counselor | 2224 E Elaine Ave, Fayetteville, AR 72703-4507 | 2020-10-20 |
| 1568069169 | Blaire Bradbury | Counselor | 1466 N Desoto Pl, Fayetteville, AR 72703-1953 | 2020-10-06 |
| 1588294631 | Puzzle Collaborative | Counselor | 34 W Colt Square Dr Ste 1, Fayetteville, AR 72703-2888 | 2020-01-16 |
| 1700421724 | Waylon Vande Hoef | Counselor | 1925 N Green Acres Rd, Fayetteville, AR 72703-2617 | 2019-11-13 |
| 1730640137 | Sherrita Hedgepeth | Counselor | 1351 Glen Iris Dr Apt 105, Fayetteville, NC 28314-6190 | 2019-03-28 |
| 1689139362 | Resiliency Behavioral Health Services LLC | Counselor | 145 Govenors Square, Ste A, Fayetteville, GA 30269 | 2019-02-06 |
| 1073006540 | Rona Gooden | Counselor | 706 Dandridge Dr, Fayetteville, NC 28303-2017 | 2018-06-10 |
| 1194229245 | The Welling Place LLC | Counselor | 2525 Raeford Rd Ste C, Fayetteville, NC 28305-5092 | 2018-03-22 |
| 1104320399 | Tia Porterfield | Counselor | 2018 Fort Bragg Rd Ste 112a, Fayetteville, NC 28303 | 2018-03-21 |
| 1376062539 | Monique R Darnell | Counselor | 320 W. Lanier Avenue Ste 200, Fayetteville, GA 30214 | 2017-09-19 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 72703 |
Please comment or provide details below to improve the information on MR. TRACY LEE MARSHALL.
| 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.