Provider Demographics
NPI:1316750375
Name:COUNTS, TRACY (CMA, CPBT, CPT, CECG)
Entity type:Individual
Prefix:MR
First Name:TRACY
Middle Name:
Last Name:COUNTS
Suffix:
Gender:M
Credentials:CMA, CPBT, CPT, CECG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2359 WESTPORT DR
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44312-4900
Mailing Address - Country:US
Mailing Address - Phone:330-990-0809
Mailing Address - Fax:
Practice Address - Street 1:2359 WESTPORT DR
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44312-4900
Practice Address - Country:US
Practice Address - Phone:330-990-0809
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-31
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service