# TRACEE MOSS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588174304
- **Authorized official:** TRACEE MOSS (OWNER)
- **Authorized official phone:** (330) 953-1202

## Contact information

- **Practice address:** 3050 SOUTHWIND TRL, YOUNGSTOWN, OH 44514-2880
- **Practice address phone:** (330) 953-1202
- **Practice address fax:** (330) 953-1204
- **Mailing address:** 3050 SOUTHWIND TRL, YOUNGSTOWN, OH 44514-2880
- **Mailing address phone:** (330) 953-1202
- **Mailing address fax:** (330) 953-1204

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | E.0004017-SUPV | OH | Yes |

## Other

- **Enumeration date:** 10/06/2017
- **Last updated:** 07/02/2024