| Tracey Walters Llc | |
|
614 W Manchester Blvd # 201-202 Inglewood CA 90301-1656 | |
| (323) 363-2069 | |
| Not Available |
| Full Name | Tracey Walters Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 614 W Manchester Blvd # 201-202, Inglewood, California |
| Authorized Official Name and Position | Tracey Walters (PEER SUPPORT SPECIALIST) |
| Authorized Official Contact | 3233632069 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tracey Walters Llc Po Box 882588 Los Angeles CA 90009-3626 Ph: (323) 363-2069 | Tracey Walters Llc 614 W Manchester Blvd # 201-202 Inglewood CA 90301-1656 Ph: (323) 363-2069 |
| NPI Number | 1063397149 |
|---|---|
| Provider Enumeration Date | 08/08/2025 |
| Last Update Date | 08/08/2025 |
| Certification Date | 08/08/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063397149 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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