| Doctor Name: | MRS. TRACIE BERRY-MCGHEE |
| NPI Number: | 1811996143 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.ED LPC |
| License Number: | 2003015970 |
| Business Practice Address: | 11138 Old Saint Charles Rd Saint Ann, MO - 630742113 |
| Business Phone Number: | 3143440983 |
| Business Fax Number: | |
| Mailing Address: | 6 Pastoral Ct, FLORISSANT |
| State: | MO |
| Postal Code: | 630336542 |
| Phone Number: | 3143440983 |
| Fax Number: | |
| NPI Enumeration Date: | 07/19/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | 03/20/2006 |
| NPI Reactivation Date: | 04/14/2006 |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 2003015970 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |