Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TRACEY WISE
Active Sole ProprietorDR. TRACEY WISE is a Mental Health Counselor healthcare provider located in PEPEEKEO, Hawaii. NPI 1992421705 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · PEPEEKEO, HI
Registration Details
- NPI Number
- 1992421705
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 13, 2022 (3.6524623882519 yrs)
- Last Updated
- Oct 13, 2022
- Licenses
-
1414-08 (HI)MHC-253 (HI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
28-2890 KAPEHU PLACEPEPEEKEO, HI, 96783Browse HI providers · Browse ZIP 96783
- Phone
- 8088952593
- Primary Specialty
-
Mental Health Counselor
101YM0800X
- Additional Specialty
- Mental Health Counselor
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.