MS. TRACY ANNE LANDRUS


Address: 10000 N 31st Ave, Ste A105, Phoenix, AZ 85051
Phone: 6027491171

MS. TRACY ANNE LANDRUS (NPI# 1629165550) 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) 1629165550
Entity Type Individual
Full Name MS. TRACY ANNE LANDRUS
Other Name TRACY DEES
Credential LPC
Practice Address 10000 N 31st Ave
Ste A105
Phoenix
AZ 85051
Practice Telephone 6027491171
Practice Fax Number 6027498588
Mailing Telephone 6027491171
Mailing Fax Number 6027498588
Enumeration Date 2006-10-10
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
LPC1197 AZ Behavioral Health & Social Service Providers

Office Location

Street Address 10000 N 31ST AVE
STE A105
City PHOENIX
State AZ
Zip Code 85051

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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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Competitor

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City PHOENIX
Zip Code 85051

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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