Provider Demographics
NPI:1316509300
Name:HARPER, TRACY DAWN (LPC)
Entity type:Individual
Prefix:
First Name:TRACY
Middle Name:DAWN
Last Name:HARPER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8425 RAMBLING RD
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73132-4002
Mailing Address - Country:US
Mailing Address - Phone:405-503-3609
Mailing Address - Fax:405-563-9450
Practice Address - Street 1:8425 RAMBLING RD
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73132-4002
Practice Address - Country:US
Practice Address - Phone:405-503-3609
Practice Address - Fax:405-563-9450
Is Sole Proprietor?:No
Enumeration Date:2019-07-01
Last Update Date:2022-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X
OK7793101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional