Provider Demographics
NPI:1548933617
Name:FOREE, TRACI (LPC)
Entity type:Individual
Prefix:
First Name:TRACI
Middle Name:
Last Name:FOREE
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 1:145 CANTERBURY DR
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35758-7934
Mailing Address - Country:US
Mailing Address - Phone:205-237-2376
Mailing Address - Fax:
Practice Address - Street 1:7027 OLD MADISON PIKE NW
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35806-2368
Practice Address - Country:US
Practice Address - Phone:256-542-1166
Practice Address - Fax:877-895-0105
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-26
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALLPC05151101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor