TRACI KING (NPI# 1376959601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376959601 |
| Entity Type | Individual |
| Full Name | TRACI KING |
| Practice Address |
515 Clanton Rd Charlotte NC 28217-1309 |
| Practice Telephone | 7048712992 |
| Practice Fax Number | 7048712994 |
| Mailing Telephone | 7048712992 |
| Mailing Fax Number | 7048712994 |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2014-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184902868 | Traci Jean King | Dentist | 2381 South 32nd St, Abilene, TX 79605 | 2011-07-28 |
| 1235286378 | Traci Jones King | Speech-Language Pathologist | 178 Wax Myrtle Dr, Albany, GA 31721-6360 | 2007-01-04 |
| 1427671346 | Traci Jo King | Internal Medicine | 330 Brookline Ave, Boston, MA 02215-5400 | 2020-05-27 |
| 1881929636 | Traci King | Nurse Practitioner | 2142 N Cove Blvd, Toledo, OH 43606-3895 | 2009-10-13 |
| Street Address |
515 CLANTON RD |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28217-1309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437167673 | Mcleod Addictive Disease Center Inc | Community/Behavioral Health | 515 Clanton Rd, Charlotte, NC 28217-1309 | 2006-08-03 |
| 1073110623 | Jessica Easley | Social Worker | 515 Clanton Rd, Charlotte, NC 28217-1309 | 2020-10-07 |
| 1659983096 | Katherine Louise Foster | Social Worker | 515 Clanton Rd, Charlotte, NC 28217-1309 | 2020-08-18 |
| 1962049361 | Dejah Alston | Social Worker | 515 Clanton Rd, Charlotte, NC 28217-1309 | 2019-12-04 |
| 1437700176 | Joshua Vincent Zummo | Counselor | 515 Clanton Rd, Charlotte, NC 28217-1309 | 2019-09-24 |
| 1386297117 | Erica O Salter | Counselor | 515 Clanton Rd, Charlotte, NC 28217-1309 | 2019-07-21 |
| 1144872524 | Courtney Shepherd | Social Worker | 515 Clanton Rd, Charlotte, NC 28217-1309 | 2019-07-15 |
| 1720567910 | Cheryl Johnson-flemming | Social Worker | 515 Clanton Rd, Charlotte, NC 28217-1309 | 2018-08-09 |
| 1184110736 | Richard Longga Bower | Social Worker | 515 Clanton Rd, Charlotte, NC 28217-1309 | 2018-07-06 |
| 1366938078 | Glenn Epstein | Counselor | 515 Clanton Rd, Charlotte, NC 28217-1309 | 2018-07-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962017798 | Kelby Rae Hurlocker | Specialist/Technologist | 500 Center Park Dr, Charlotte, NC 28217 | 2020-09-09 |
| 1356967749 | Optum Pharmacy 701, LLC | Pharmacy | 4015 Shopton Rd, Suite 600, Charlotte, NC 28217 | 2020-06-22 |
| 1598302937 | Brigit Boyce | Occupational Therapist | 8848 Red Oak Blvd, Ste Aa, Charlotte, NC 28217 | 2019-12-04 |
| 1275016933 | Zarah Pulfrey | Physician Assistant | Womack Medical Center, 2817 Riley Road, Fort Bragg, NC 28217 | 2018-09-10 |
| 1972085918 | Dynamic Health Medical Group Pllc | Pain Medicine | 4705 South Blvd, Charlotte, NC 28217 | 2018-09-06 |
| 1184102048 | Charday Caple | Counselor | 735 Echodale Dr, Charlotte, NC 28217 | 2018-08-02 |
| 1326532250 | Dupont Livery LLC | Non-emergency Medical Transport (VAN) | 4200 S Tryon St, Charlotte, NC 28217 | 2018-06-14 |
| 1891215232 | Lakesha Shamise Welch | Counselor | 5709 South Hampton R., Charlotte, NC 28217 | 2017-06-27 |
| 1245768282 | Allison Harris Lafone | Counselor | 515 Clanton Road, Charlotte, NC 28217 | 2017-06-02 |
| 1619416906 | Charlie Randolph Taylor Jr. | Counselor | 517 Clanton Road, Charlotte, NC 28217 | 2017-02-20 |
| Find all providers in zip 28217 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619574829 | Steve Hanna Interventions | Counselor | 8101 Providence Court Ln Apt 101, Charlotte, NC 28270-2385 | 2020-10-01 |
| 1164036976 | Diamond Corbin | Counselor | 3553 N Sharon Amity Rd Ste 200, Charlotte, NC 28205-8992 | 2020-08-31 |
| 1366053035 | Triumph Therapeutic Services Pllc | Counselor | 620 Parkaire Ln Apt 1024, Charlotte, NC 28217-2492 | 2020-08-14 |
| 1407472582 | Sarah Ann Grant | Counselor | 1617 Fountain Vw, Charlotte, NC 28203-5829 | 2020-06-24 |
| 1164046728 | Kevin Thomas Egroff | Counselor | 2134 Augusta St, Charlotte, NC 28216-4603 | 2020-05-29 |
| 1861039729 | No Bounds Care Inc of Nc | Counselor | 615 E 6th St Ste 102, Charlotte, NC 28202-2918 | 2019-12-10 |
| 1174168850 | Stress Management, LLC | Counselor | 8915 Legacy Park Dr Apt C, Charlotte, NC 28269-9622 | 2019-11-17 |
| 1154964062 | Setfreesoldiers, Inc | Counselor | 4900 Providence Rd, Charlotte, NC 28226-5848 | 2019-10-23 |
| 1083256762 | Speak Life Counseling Services, Pllc | Counselor | 16147 Lacaster Hwy, Suite 110, Charlotte, NC 28277 | 2019-10-14 |
| 1518508340 | Modern Era Counseling, Pllc | Counselor | 5200 Park Rd Ste 218-d, Charlotte, NC 28209-3650 | 2019-10-02 |
| Find all providers in CHARLOTTE | ||||
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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.