Active NPIOrganization

Tracy George LLC

Community/Behavioral Health in Portland, Maine

NPI Number1710434170
Practice location
45 Pleasant Ave, Portland, ME 04103-3217
Fax
207-221-1219
Last updated
September 2, 2016

Tracy George LLC is a healthcare organization based in Portland, ME. Tracy George LLC practices in Portland, ME. The NPI Number for Tracy George LLC is 1710434170 and holds a License No. LC15680 (ME). The current practice location address for Tracy George LLC is 45 Pleasant Ave, Portland, ME 04103-3217 and can be reached out via phone at 603-343-6352 and via fax at 207-221-1219.

Provider Profile Details

NPI Number
1710434170
Provider Name
Tracy George LLC
Provider Entity Type
Organization
Address
45 Pleasant Ave, Portland, ME 04103-3217
Phone Number
603-343-6352
Fax Number
207-221-1219
Primary Taxonomy
Community/Behavioral Health · 251S00000X
Organization Subpart
No
Authorized Official
Tracy E George, LCSW · Ceo · 603-343-6352
Provider Enumeration Date
September 2, 2016
Last Update Date
September 2, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
45 Pleasant Ave
Portland, ME 04103-3217
State
Maine
Zip
04103-3217
Phone Number
603-343-6352
Fax Number
207-221-1219
Portland, ME 04103Get directions →

Provider Business Mailing Address Details

Address
41 Topaz Pl
Portsmouth, NH 03801-3583
City
Portsmouth
State
NH
Zip
03801-3583
Phone Number
603-343-6352
Fax Number
207-221-1219

License Information

License Number
LC15680
License State
ME
Taxonomy
Community/Behavioral Health · 251S00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Tracy George LLC?

The NPI number of Tracy George LLC is 1710434170. It was assigned on September 2, 2016 and is currently active in the NPPES registry.

What is the specialty of Tracy George LLC?

Tracy George LLC is registered under the primary taxonomy Community/Behavioral Health (code 251S00000X), licensed in ME under license number LC15680.

Where does Tracy George LLC practice?

The practice location is 45 Pleasant Ave, Portland, ME 04103-3217. The office can be reached at 603-343-6352 (phone) or 207-221-1219 (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 1710434170 directly on the NPPES registry website.

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