Provider Demographics
NPI:1588908982
Name:KALLOWAY, TRACY MARIE (LMHC)
Entity type:Individual
Prefix:
First Name:TRACY
Middle Name:MARIE
Last Name:KALLOWAY
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1212 181ST PL SW
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98037-4958
Mailing Address - Country:US
Mailing Address - Phone:206-819-3529
Mailing Address - Fax:206-826-1815
Practice Address - Street 1:1212 181ST PL SW
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98037-4958
Practice Address - Country:US
Practice Address - Phone:206-819-3529
Practice Address - Fax:206-826-1815
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-26
Last Update Date:2025-09-24
Deactivation Date:2025-09-15
Deactivation Code:
Reactivation Date:2025-09-24
Provider Licenses
StateLicense IDTaxonomies
WALH60368502101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health