Organization
THERAPEUTIC SERVICES OF TRACY CARTER, M.S., L.C.P.C., L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACY ELLEN CARTER M.S. (LICENSED PROFESSIONAL COUNSELOR)
(410) 598-3186
Entity
Organization
Contact information
Practice address
507 WEST DR, SEVERNA PARK, MD 21146-2623
(410) 598-3186
Mailing address
58 GIRTH LN, SHENANDOAH JUNCTION, WV 25442-4032
(410) 598-3186
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC2125
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100094884
AMERICAN PSYCH SYSTEMS
MD
01
—
17PKTH
BCBS LOCAL
MD
01
—
274772
COMPSYCH
MD
01
—
391360
MHN
MD
05
—
409607000
—
MD
01
—
4969-0001
BCBS FEDERAL
MD
01
—
7607810
AETNA
MD
Enumeration date
01/02/2007
Last updated
05/10/2011
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