Provider Demographics
NPI:1174415236
Name:WEBSTER, TRACY LEE (LPC)
Entity type:Individual
Prefix:MRS
First Name:TRACY
Middle Name:LEE
Last Name:WEBSTER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:TRACY
Other - Middle Name:LEE
Other - Last Name:STEVENS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LAPC
Mailing Address - Street 1:3029 JONATHAN CT
Mailing Address - Street 2:
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30039-6191
Mailing Address - Country:US
Mailing Address - Phone:678-281-5334
Mailing Address - Fax:
Practice Address - Street 1:3029 JONATHAN CT
Practice Address - Street 2:
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30039-6191
Practice Address - Country:US
Practice Address - Phone:678-281-5334
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-15
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC015875101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty