Organization
MEDTRAC SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY L SMITH (CHIEF EXECUTIVE OFFICER)
(704) 819-6212
Entity
Organization
Contact information
Practice address
537 W SUGAR CREEK RD STE 102, CHARLOTTE, NC 28213-6102
(704) 819-6212
(704) 469-4714
Mailing address
537 W SUGAR CREEK RD STE 102, CHARLOTTE, NC 28213-6102
(704) 819-6212
(704) 469-4714
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TF0200X
Forensic Psychologist
—
—
103TH0004X
Health Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/28/2013
Last updated
05/20/2025
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