MR. TRACY P. WASHINGTON


Address: 750 Signer Blvd, Honolulu, HI 96818
Phone: 8084490185

MR. TRACY P. WASHINGTON (NPI# 1982875712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982875712
Entity Type Individual
Full Name MR. TRACY P. WASHINGTON
Credential CADAC
Practice Address 750 Signer Blvd
Honolulu
HI 96818
Practice Telephone 8084490185
Mailing Telephone 8084490185
Enumeration Date 2008-03-19
Last Update Date 2008-03-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers

Other Providers TRACY WASHINGTON

NPI Name Taxonomy Address Enumeration
1588173207 Tracy Marie Washington Social Worker 221 Philadelphia Pike, Suite 4, Wilmington, DE 19809 2017-09-26

Office Location

Street Address 750 SIGNER BLVD
City HONOLULU
State HI
Zip Code 96818

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1861904864 Joanna Wolford Licensed Practical Nurse 1514 Makalapa Drive, Apo, AA 96818 2017-10-30
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1871960278 Cassandra Fisher Speech-Language Pathologist 202a Beard Ave, Honolulu, HI 96818 2015-09-01
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

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1033568894 Mary Ann Erwin Counselor 1128 Pueo St, Honolulu, HI 96816-5120 2016-06-11
1760836738 David Dunson Counselor 21 Craigside Pl Apt 7c, Honolulu, HI 96817-1759 2016-04-15
1265828545 Marie Kahokualakai Babino Counselor 875 Waimanu St Ste 612, Honolulu, HI 96813-5267 2015-04-13
1649619040 Kathy Desouza Counselor 2609 Ala Wai Blvd Apt 305, Honolulu, HI 96815-3901 2013-06-19
1043558018 Alexander Gino Counselor 1188 Bishop St Ste 2905, Honolulu, HI 96813-3312 2013-01-24
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Competitor

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City HONOLULU
Zip Code 96818

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Dataset Information

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.

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