TRACY L ANDERSON LPC NPI 1104022029

NPI Information

  • NPI: 1104022029
  • Provider Name: TRACY L ANDERSON, LPC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 1100 LUDINGTON ST
    SUITE 401
    ESCANABA, MI
    ZIP 49829
  • Phone: (906) 789-1596

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NPI Details

Tracy L Anderson, LPC is an addiction (substance use disorder) counselor in Escanaba, MI. Tracy L Anderson, LPC NPI is 1104022029. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1100 LUDINGTON ST
SUITE 401
ESCANABA, MI
ZIP 49829-542
Phone: (906) 789-1596
Fax: (906) 789-2024

The enumeration date for this NPI number is 6/26/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)6401010067MICHIGANYes
21041C0700XSocial WorkerClinical6401010067MICHIGANX

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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