Provider Demographics
NPI:1962783977
Name:PARKER, TRACEE LEE (MS)
Entity type:Individual
Prefix:
First Name:TRACEE
Middle Name:LEE
Last Name:PARKER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:TRACEE
Other - Middle Name:
Other - Last Name:PEREZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1600 E OLIVE ST
Mailing Address - Street 2:SOUND MENTAL HEALTH
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122-2735
Mailing Address - Country:US
Mailing Address - Phone:206-302-2200
Mailing Address - Fax:206-302-2210
Practice Address - Street 1:407 W GOWE ST
Practice Address - Street 2:SAFE AND SOUND
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98032-5806
Practice Address - Country:US
Practice Address - Phone:253-876-8951
Practice Address - Fax:253-876-8952
Is Sole Proprietor?:No
Enumeration Date:2011-09-02
Last Update Date:2011-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator