Organization
DRYDEN ANCILLARY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY ROGERS LMHC, LPC (RCM)
(941) 391-7261
Entity
Organization
Contact information
Practice address
512 DRYDEN LOOP, DRYDEN, VA 24243
(276) 212-4325
Mailing address
189 DINSMORE RD, DRYDEN, VA 24243-8378
(941) 391-7261
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
02/23/2026
Last updated
02/23/2026
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