NPI 1003160219 TRACIE LYNN KELLER LPCC-S COLUMBUS OH. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Tracie Lynn Keller - NPI: 1003160219

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: TRACIE LYNN KELLER
NPI Number: 1003160219
Entity Type Code: Individual (1)
Gender: F
Credentials: LPCC-S
License Number: E.0900503
Business Practice Address: 1080 Fishinger Rd
Suite 103 Columbus, OH - 432212302
Business Phone Number: 6148227819
Business Fax Number: 6143725590
Mailing Address: 1080 Fishinger Rd, Suite 103
COLUMBUS
State: OH
Postal Code: 432212302
Phone Number: 6148227819
Fax Number: 6143725590
NPI Enumeration Date: 11/09/2012
NPI Last Update Date: 03/12/2015
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 101YM0800X
License Number: E.0900503
Healthcare Provider Taxonomy:
(Secondary)
Y
State: OH
Taxonomy Type: Behavioral Health & Social Service Providers
Taxonomy Classification: Counselor
Taxonomy Specialization: Mental Health
Taxonomy Definition:


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