TRACY LYNNE HARRIS (NPI# 1417589805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417589805 |
| Entity Type | Individual |
| Full Name | TRACY LYNNE HARRIS |
| Practice Address |
30101 Hoover Rd Warren MI 48093-6572 |
| Mailing Address |
1182 Villa Park Dr Troy MI 48085-1314 |
| Practice Telephone | 5865586868 |
| Practice Fax Number | 5865586893 |
| Mailing Telephone | 2482198700 |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2020-02-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
6401018137 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467971069 | Tracy Renard Harris | Counselor | 1149 Englemeade Dr, Shreveport, LA 71107 | 2017-09-14 |
| 1144779422 | Tracy Harris | Social Worker | 3342 Swinford Ct, Raleigh, NC 27604-4082 | 2016-09-27 |
| 1922459148 | Tracy Harris | Technician, Other | 1263 Sw 46th Ave, Unit 2101, Pompano Beach, FL 33069-6450 | 2016-06-29 |
| 1629412333 | Tracy J Harris | Counselor | 100 Essex Ct Ste A, Madison, AL 35758-3140 | 2013-04-24 |
| 1972782787 | Tracy R. Harris | Counselor | 4056 Old Gentilly Rd, New Orleans, LA 70126-4813 | 2007-10-29 |
| 1356536049 | Tracy Hulse Harris | Speech-Language Pathologist | 340 Dillon Rd, Milton, TN 37118-5527 | 2007-09-06 |
| 1235628843 | Tracy Harris | Community/Behavioral Health | 2525 Tiller Lane Ste 110, Columbus, OH 43231 | 2018-05-09 |
| 1487161287 | Tracy Lynn Harris | Case Manager/Care Coordinator | 525 Metro Pl N, Dublin, OH 43017-5342 | 2018-01-03 |
| 1427413566 | Tracy Harris | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2015-12-16 |
| 1811366420 | Tracy Harris | Social Worker | 654 Ne 9th Pl, Homestead, FL 33030-4934 | 2015-09-24 |
| Street Address |
30101 HOOVER RD |
| City | WARREN |
| State | MI |
| Zip Code | 48093-6572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255405544 | Allan Harvey Morton | Internal Medicine | 30101 Hoover Rd, Warren, MI 48093-6572 | 2006-11-20 |
| 1982239265 | Amanda Kay Jung | Counselor | 30101 Hoover Rd, Warren, MI 48093-6572 | 2020-03-07 |
| 1063043362 | Jennifer E. Warren | Social Worker | 30101 Hoover Rd, Warren, MI 48093-6572 | 2020-01-27 |
| 1144877085 | Sophie Michalak | Counselor | 30101 Hoover Rd, Warren, MI 48093-6572 | 2019-08-26 |
| 1063074854 | Alan Johns | Social Worker | 30101 Hoover Rd, Warren, MI 48093-6572 | 2019-07-02 |
| 1114586245 | Catherine Moritz | Social Worker | 30101 Hoover Rd, Warren, MI 48093-6572 | 2019-06-12 |
| 1790253813 | Arika Gregory | Counselor | 30101 Hoover Rd, Warren, MI 48093-6572 | 2018-11-06 |
| 1285135921 | Robert Allen Dickinson Jr. | Counselor | 30101 Hoover Rd, Warren, MI 48093-6572 | 2018-02-27 |
| 1750882668 | Shannon Grace Brockert | Social Worker | 30101 Hoover Rd, Warren, MI 48093-6572 | 2018-02-26 |
| 1164935144 | Andrea Michelle Berthet | Social Worker | 30101 Hoover Rd, Warren, MI 48093-6572 | 2017-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615986 | Toleka Regina Taylor | Nurse Anesthetist, Certified Registered | St. John Macomb Hospital, 11800 East 12 Mile Road, Warren, MI 48093 | 2020-10-05 |
| 1679112676 | Open Heart Communities | Case Management | 31310 Shaw Dr, Warren, MI 48093 | 2019-12-23 |
| 1538715636 | 3 Dove Medical Supplies | Durable Medical Equipment & Medical Supplies | 31201 Chicago Rd S Ste C101, Warren, MI 48093 | 2019-08-14 |
| 1568954600 | Schreiber Cardiology, P.C. | Internal Medicine | 8545 Common Rd Ste 150, Warren, MI 48093 | 2018-06-05 |
| 1730686197 | Lambro Seremetis | Social Worker | 12200 E. 12 Mile Road, Ste. 200, Warren, MI 48093 | 2018-04-11 |
| 1649775826 | Ridge Downs | Behavioral Analyst | 31201 Chicago Rd South, Suite C- 202, Warren, MI 48093 | 2018-03-28 |
| 1144722737 | Jessica Farraj | Occupational Therapist | 11800 E. 12 Mile Road, Warren, MI 48093 | 2018-02-28 |
| 1265930168 | Leah Hanrahan | Registered Nurse | 11700 Amberle Dr., Warren, MI 48093 | 2018-01-25 |
| 1598271553 | Pamela Marie Confer | Occupational Therapist | 11012 13 Mile Rd, Suite 200, Warren, MI 48093 | 2017-12-28 |
| 1831604347 | Kate Jeanne Szczepanski | Behavior Technician | 31200 Chicago Rd S, Warren, MI 48093 | 2017-12-06 |
| Find all providers in zip 48093 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627666 | Kimberly Gordon | Counselor | 24 Sheehan Rd, Warren, CT 06777-1008 | 2020-10-24 |
| 1720638141 | Jody Cohen | Counselor | 212 Melius Rd, Warren, CT 06754-1505 | 2019-09-17 |
| 1821554304 | Tamara Dallaire | Counselor | 23 Denver Ave, Warren, RI 02885-1839 | 2019-02-20 |
| 1871082115 | Thrive Counseling LLC | Counselor | 1705 Woodland St Ne, Warren, OH 44483-5348 | 2018-05-02 |
| 1689172827 | Megan Elizabeth Cook | Counselor | 5 Mountain Blvd Ste 4, Warren, NJ 07059-2625 | 2018-01-23 |
| 1518405190 | Tadarrio Lowery | Counselor | 414 Trumbull Ave Se, Warren, OH 44483-6339 | 2017-02-03 |
| 1396110904 | R'taveous Merritt | Counselor | 27567 Parkview Blvd, Warren, MI 48092-2975 | 2015-12-08 |
| 1144602897 | Alana Maria Nicolazzo | Counselor | 29203 Roan Dr, Warren, MI 48093-3566 | 2015-06-18 |
| 1346526753 | Weston Martin | Counselor | 648 Main St, Warren, RI 02885-4387 | 2011-10-30 |
| 1295962355 | Kimberly Beck | Counselor | 2000 East Market Street, Warren, OH 44483 | 2009-06-16 |
| Find all providers in WARREN | ||||
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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.