Dr Tracy L Smith, PHD | |
505 E Palm Valley Blvd Ste 240, Round Rock, TX 78664-3043 | |
(512) 488-9116 | |
Not Available |
Full Name | Dr Tracy L Smith |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 505 E Palm Valley Blvd Ste 240, Round Rock, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639483530 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 70574 (Texas) | Secondary |
101YP2500X | Counselor - Professional | 70574 (Texas) | Primary |
Entity Name | Geode Health Of Texas, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851037162 PECOS PAC ID: 2062896897 Enrollment ID: O20220829001698 |
Mailing Address | Practice Location Address |
---|---|
Dr Tracy L Smith, PHD 1101 Abbey Glen Castle Drive, Apt 1102, Pflugerville, TX 78660-4235 Ph: (737) 599-9956 | Dr Tracy L Smith, PHD 505 E Palm Valley Blvd Ste 240, Round Rock, TX 78664-3043 Ph: (512) 488-9116 |
Amanda Papenfus, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1009 N Georgetown St, Round Rock, TX 78664 Phone: 512-255-1720 | |
Rocio Avila-salinas, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 6033 Toscana Trce, Round Rock, TX 78665 Phone: 512-436-3657 | |
Leslie Weinfeld, MAHS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1930 Rawhide Dr, Ste 302, Round Rock, TX 78681 Phone: 512-246-2232 | |
Ms. Jessica Juch, LCSW, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3000 Joe Dimaggio Blvd Ste 66, Round Rock, TX 78665 Phone: 512-246-7225 | |
Casey James, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2337 Friarcreek Loop, Round Rock, TX 78664 Phone: 737-999-3007 | |
Diana Lynn Maxwell, LPC ASSOCIATE Counselor Medicare: Not Enrolled in Medicare Practice Location: 402a W Palm Valley Blvd # 184, Round Rock, TX 78664 Phone: 612-239-9982 | |
Miss Iris Elizabeth Hackett, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 N. Ih 35, 315 Pmb 182, Round Rock, TX 78681 Phone: 512-587-7440 Fax: 512-218-4150 |