- Practice location
- 55 Bell St, Portland, ME 04103-3418
- Phone
- 207-604-2461
- Fax
- 207-514-8333
- Last updated
- July 9, 2021
Tracy W Bennett is a Counselor, Mental Health based in Portland, ME. Tracy W Bennett practices in Portland, ME and has the professional credentials of LCPC. The NPI Number for Tracy W Bennett is 1487869210 and holds a License No. cc1576 (ME). The current practice location address for Tracy W Bennett is 55 Bell St, Portland, ME 04103-3418 and can be reached out via phone at 207-604-2461 and via fax at 207-514-8333.
Provider Profile Details
- NPI Number
- 1487869210
- Provider Name
- Tracy W Bennett
- Credential
- LCPC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 55 Bell St, Portland, ME 04103-3418
- Phone Number
- 207-604-2461
- Fax Number
- 207-514-8333
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 14, 2007
- Last Update Date
- July 9, 2021
- Certification Date
- July 9, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 55 Bell St
Portland, ME 04103-3418 - City
- Portland
- State
- Maine
- Zip
- 04103-3418
- Phone Number
- 207-604-2461
- Fax Number
- 207-514-8333
Provider Business Mailing Address Details
- Address
- 1590 Milton Mills RD
Acton, ME 04001-5008 - City
- Acton
- State
- ME
- Zip
- 04001-5008
- Phone Number
- 207-604-2461
- Fax Number
- 207-514-8333
License Information
- License Number
- cc1576
- License State
- ME
- Taxonomy
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Tracy W Bennett, LCPC?
The NPI number of Mr. Tracy W Bennett, LCPC is 1487869210. It was assigned on May 14, 2007 and is currently active in the NPPES registry.
What is the specialty of Mr. Tracy W Bennett, LCPC?
Mr. Tracy W Bennett, LCPC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in ME under license number cc1576.
Where does Mr. Tracy W Bennett, LCPC practice?
The practice location is 55 Bell St, Portland, ME 04103-3418. The office can be reached at 207-604-2461 (phone) or 207-514-8333 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1487869210 directly on the NPPES registry website.