MRS. TRACIE R EDWARDS


Address: 1110 Eldon Baker Dr, Flint, MI 48507-1923
Phone: 8102131803

MRS. TRACIE R EDWARDS (NPI# 1821248865) 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) 1821248865
Entity Type Individual
Full Name MRS. TRACIE R EDWARDS
Practice Address 1110 Eldon Baker Dr
Flint
MI 48507-1923
Practice Telephone 8102131803
Practice Fax Number 8107441306
Mailing Telephone 8102131803
Mailing Fax Number 8107441306
Enumeration Date 2008-09-26
Last Update Date 2015-08-24
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
6401011486 MI Behavioral Health & Social Service Providers

Other Providers TRACIE EDWARDS

NPI Name Taxonomy Address Enumeration
1134384357 Tracie Dawn Edwards Hearing Instrument Specialist 7760 Route 417 W, Bolivar, NY 14715 2008-07-28
1669084760 Tracie Susan Edwards Technician 4550 W Oakey Blvd Ste 101a, Las Vegas, NV 89102-1506 2020-08-19
1104486711 Tracie Theresa Edwards Nurse Practitioner 1412 Milstead Ave Ne, Conyers, GA 30012-3877 2019-06-17
1215439617 Tracie L Edwards Case Manager/Care Coordinator 2500 John Glenn Hwy, Cambridge, OH 43725-9028 2018-03-02

Office Location

Street Address 1110 ELDON BAKER DR
City FLINT
State MI
Zip Code 48507-1923

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821033515 Cassandra L Coney-stewart Social Worker 1110 Eldon Baker Dr, Flint, MI 48507-1923 2006-06-18
1376142042 Britny Madison Childers Case Manager/Care Coordinator 1110 Eldon Baker Dr, Flint, MI 48507-1923 2020-10-22
1124634100 Amber Minando Case Manager/Care Coordinator 1110 Eldon Baker Dr, Flint, MI 48507-1923 2020-09-16
1215545470 Danielle Elizabeth Hack Social Worker 1110 Eldon Baker Dr, Flint, MI 48507-1923 2020-07-14
1649898610 Amber Lynn Mcmillin Case Manager/Care Coordinator 1110 Eldon Baker Dr, Flint, MI 48507-1923 2020-07-07
1255954517 Paul Kilgore Social Worker 1110 Eldon Baker Dr, Flint, MI 48507-1923 2020-05-21
1720600968 Daniel Nacker Specialist 1110 Eldon Baker Dr, Flint, MI 48507-1923 2020-05-11
1043850100 Martell Lee Case Manager/Care Coordinator 1110 Eldon Baker Dr, Flint, MI 48507-1923 2020-01-07
1386286862 Kelly Sue Sheppard Social Worker 1110 Eldon Baker Dr, Flint, MI 48507-1923 2019-10-16
1437790359 Eugene Mahon Counselor 1110 Eldon Baker Dr, Flint, MI 48507-1923 2019-10-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245847870 Alexis Nichole Leach Physician Assistant 5494 South Dort Hwy, Flint, MI 48507 2020-09-28
1508330317 Jeffrey Mark Funck Registered Nurse G-4443 Miller Road, Suite 100, Flint, MI 48507 2019-01-15
1861981292 Lavonne L Alexander Nurse Practitioner 4500 S Saginaw St Ste 1875, Flint, MI 48507 2018-05-01
1760984348 Melissa Dawn Hoffman Psychologist 5402 Gateway Centre Drive, Suite B, Flint, MI 48507 2018-02-28
1902327323 Katee Mast Case Manager/Care Coordinator 110 Eldon Baker Drive, Flint, MI 48507 2017-07-06
1699228460 Joshua Sinclair Social Worker 2442 E Maple Ave Ste 207, Flint, MI 48507 2016-07-28
1477903730 Gracie Hunter Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1110 Eldon Baker, Flint, MI 48507 2016-06-17
1528412822 Drita Gojcaj Massage Therapist 3426 Miller Road, Flint, MI 48507 2016-04-22
1629422100 Ellen Makarewicz-ely Massage Therapist 3426 Miller Rd, Flint, MI 48507 2016-04-20
1700262722 Katelyn Bailey Nurse Practitioner 1420 W Twelfth St, Flint, MI 48507 2015-07-31
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Taxonomy Information

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

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255930640 Nikki Lynn Moorman Counselor 1295 S Linden Rd Ste F, Flint, MI 48532-3498 2020-10-18
1225635568 Nichole Wright Counselor 5294 Timberwood Point Dr, Flint, MI 48532-2265 2020-10-08
1821603549 Shift Consulting Counselor 2425 S Linden Rd Ste D138, Flint, MI 48532-5482 2020-09-10
1730797291 Lauren Hawkins Counselor 18420 Serenity Way, Flint, TX 75762-9625 2020-07-20
1588214068 Omni Odum Counselor 1121 Villa Linde Ct Bldg 39, Flint, MI 48532-3410 2019-09-16
1992357339 Jennifer E Malone Counselor 1328 Williamsburg Rd, Flint, MI 48507-5628 2019-07-16
1073076055 Michelle Lowder Counselor 17238 Pennie Ln, Flint, TX 75762-9148 2019-04-08
1457814550 Monica Lynn Blackwell Counselor 2425 S Linden Rd Ste 134, Flint, MI 48532-5473 2019-04-08
1679080089 Candace Shuel Counselor 2387 S Linden Rd Ste 124, Flint, MI 48532-5487 2018-01-08
1649786500 Kristen Alexis Bedevian Counselor 16735 Gresham Cir # 101, Flint, TX 75762-3510 2017-12-14
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Competitor

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City FLINT
Zip Code 48507

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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