MS. TRACY DIANE TACQUARD


Address: 1504 Pebble Bay Ct, Granbury, TX 76048-1238
Phone: 9517640537

MS. TRACY DIANE TACQUARD (NPI# 1154471530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154471530
Entity Type Individual
Full Name MS. TRACY DIANE TACQUARD
Credential LMFT
Practice Address 1504 Pebble Bay Ct
Granbury
TX 76048-1238
Practice Telephone 9517640537
Practice Fax Number 9518489416
Mailing Telephone 9517640537
Mailing Fax Number 9518489416
Enumeration Date 2007-01-10
Last Update Date 2018-12-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106H00000X Marriage & Family Therapist MFC38834 CA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX OUTPATIENT MENTAL HEALTH 1154471530 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
28991 Old Town Front St Ste 102, Temecula, CA 925902858 9517640537 9518489416

Office Location

Street Address 1504 PEBBLE BAY CT
City GRANBURY
State TX
Zip Code 76048-1238

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487125621 Trauma and Recovery Solutions, Inc. Marriage & Family Therapist 1504 Pebble Bay Ct, Granbury, TX 76048-1238 2018-12-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689213415 Tena Lee Wood I Licensed Practical Nurse 302 S. Crites Granbury Tx. 76048, 302 S. Crites Granbury Tx. 76048, Granbury, TX 76048 2019-12-26
1811456593 Laura Nicole Graham Counselor 2101 West Pearl Street, Granbury, TX 76048 2019-03-13
1477000974 Globalrehab - Fort Worth, Lp Rehabilitation Hospital 805 Hill Blve, Ste 109, Granbury, TX 76048 2016-09-01
1780130245 Rachel Diane Rouse Counselor 1903 W Pearl Street, Granbury, TX 76048 2016-08-25
1477946648 Adriana Brown Nurse Practitioner 805 Hill Blvd., #104, Granbury, TX 76048 2015-03-12
1407261233 Rogers King Coleman General Practice 1411 Crawford Street, Granbury, TX 76048 2014-07-01
1891115176 Trinity Nursing and Rehabilitation of Granbury, Lp Skilled Nursing Facility 600 Reunion Court, Granbury, TX 76048 2014-04-24
1639507122 Kayelen Helton Counselor 807 Paluxy Road, Granbury, TX 76048 2013-10-22
1013257799 Pecan Valley Mhmr Region Counselor 2101 W. Pearl St., Granbury, TX 76048 2013-02-18
1114240223 Talbot Green Mccormick Jr. General Practice 2306 Cologne Dr., Granbury, TX 76048 2010-03-03
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Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720155849 Donald Henry Lane Marriage & Family Therapist 708 Paluxy Rd Ste J, Granbury, TX 76048-2396 2006-11-30
1740354000 Paula K Schirman Marriage & Family Therapist 806 Old Cleburne Road, Granbury, TX 76048 2006-11-20
1588688139 Denise A Hoyt Marriage & Family Therapist 1201 W 2nd, Ste 105, Granbury, TX 76048-1489 2006-07-27
1487125621 Trauma and Recovery Solutions, Inc. Marriage & Family Therapist 1504 Pebble Bay Ct, Granbury, TX 76048-1238 2018-12-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1063013928 Dana Lewin Counseling, Pllc Marriage & Family Therapist 420 N Carroll Ave Ste 140, Southlake, TX 76092-6454 2020-11-05
1679173017 Christina Helen Grudzinski Marriage & Family Therapist 6777 Camp Bowie Blvd Ste 332, Fort Worth, TX 76116-7196 2020-10-26
1083213185 Darrell Reese Marriage & Family Therapist 2656 S Loop W Ste 175, Houston, TX 77054-2698 2020-10-20
1801494752 Theokratia Psychotherapy Pllc Marriage & Family Therapist 1910 Pacific Ave Ste 14225, Dallas, TX 75201-4773 2020-10-13
1134727423 Victoria Templeton Marriage & Family Therapist 256 Ed English Dr., Building 4, Unit C, Shenandoah, TX 77385 2020-10-09
1780281089 Patricia Ruth Kuenstler Marriage & Family Therapist 10544 Cox Ln, Dallas, TX 75229-5209 2020-10-08
1073129185 Gloria F Dukes Marriage & Family Therapist 2243 Colby Ln, Wylie, TX 75098-6010 2020-09-23
1699381657 Deborah Holt Family Therapy Pllc Marriage & Family Therapist 12720 Hillcrest Rd Ste 105, Dallas, TX 75230-7120 2020-09-16
1265046163 Morgan Doolittle Marriage & Family Therapist 8400 Stacy Rd Ste 100, Mckinney, TX 75070-2144 2020-09-08
1619581857 Francine Haag Morar Marriage & Family Therapist 12803 West Ave Apt 9105, San Antonio, TX 78216-1828 2020-09-04
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Competitor

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City GRANBURY
Zip Code 76048

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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