| Doctor Name: | MS. TRACEY C ADAMS |
| NPI Number: | 1164587275 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCPC |
| License Number: | 180005780 |
| Business Practice Address: | 16162 Ellis Ave Unit 1 South South Holland, IL - 604731700 |
| Business Phone Number: | 7083314101 |
| Business Fax Number: | 7083314755 |
| Mailing Address: | 1440 Tanglewood St Unit 4c, FLOSSMOOR |
| State: | IL |
| Postal Code: | 604221765 |
| Phone Number: | 7083314101 |
| Fax Number: | 7083314755 |
| NPI Enumeration Date: | 12/27/2006 |
| NPI Last Update Date: | 03/22/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 180005780 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |