| Tracey Little, | |
|
126 Washington Ave, Bay City, MI 48708-5846 | |
| (989) 684-7977 | |
| (989) 684-4331 |
| Full Name | Tracey Little |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 126 Washington Ave, Bay City, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083106900 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Entity Name | List Psychological Services, Plc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336176031 PECOS PAC ID: 6709799323 Enrollment ID: O20031110000689 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracey Little, 443 N State St, Caro, MI 48723-1539 Ph: () - | Tracey Little, 126 Washington Ave, Bay City, MI 48708-5846 Ph: (989) 684-7977 |
Mr. Kevin Rose, Counselor Medicare: Not Enrolled in Medicare Practice Location: 304 Tuscola Rd, Bay City, MI 48708 Phone: 989-892-8564 | |
Samantha Foehringer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 Mulholland St, Bay City, MI 48708 Phone: 989-895-2300 | |
Mrs. Ericka Denise Booker, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 259 N Madison Ave, Bay City, MI 48708 Phone: 734-756-3757 | |
Ms. Nicole Sweet, M.A. LLPC Counselor Medicare: Medicare Enrolled Practice Location: 3707 Katalin Court, Bay City, MI 48706 Phone: 989-671-0866 Fax: 989-671-0867 | |
Valerie Daly, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 126 Washington Ave, Bay City, MI 48708 Phone: 989-684-7977 Fax: 989-684-4331 | |
Teri Booth, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 114 N Tuscola Rd, Bay City, MI 48708 Phone: 989-895-0788 |