NPI 1740410737 · live from the CMS NPI Registry
Tracie Meaders, LPC
Counselor, Professional in Eagle River, AK. National Provider Identifier 1740410737, active.
NPI record
| NPI | 1740410737 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Professional 101YP2500X |
| Practice location | 8012 Stewart Mountain Dr, Eagle River, AK 99577 |
| Practice phone | 907-279-9627 |
| Mailing address | 16941 N Eagle River Loop Rd Ste 1, Eagle River, AK 99577 |
| Enumerated | July 23, 2009 |
| Last updated | October 30, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | — |
| Counselor, Mental Health | 101YM0800X | — |
| Marriage & Family Therapist | 106H00000X | — |
| Counselor, Professional primary | 101YP2500X | PCOP907 (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.