Tracey Moore, LPC is a
Counselor - Professional based in Gladewater, Texas. Tracey Moore is licensed to practice in Texas (license number 75723) and her current practice location is
14970 County Road 373, Gladewater, Texas. She can be reached at her office (for appointments etc.) via phone at
(903) 330-2580.
NPI number for Tracey Moore is 1972314573 and her current mailing address is 14970 County Road 373, Gladewater, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1972314573.
Healthcare Provider's Profile
| Full Name | Tracey Moore |
|---|
| Gender | Female |
|---|
| Speciality | Counselor - Professional |
|---|
| Location | 14970 County Road 373, Gladewater, Texas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1972314573
- Provider Enumeration Date: 01/14/2025
- Last Update Date: 01/14/2025
Medical Identifiers
Medical identifiers for Tracey Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1972314573 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YP2500X | Counselor - Professional | 75723 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tracey Moore is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Tracey Moore, LPC 14970 County Road 373, Gladewater, TX 75647-9173 Ph: (903) 330-2580 | Tracey Moore, LPC 14970 County Road 373, Gladewater, TX 75647-9173 Ph: (903) 330-2580 |
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