MEDICARE: TRACY ECKERT LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1578792826
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRACY ECKERT LLC

Provider Business Mailing Address
First Line	:	22 CAMILLE LN
Second Line	:
City	:	CANTON
State	:	CT
Zip	:	06019-2040
Country	:	US
Telephone Number	:	860-965-7500
Fax Number	:	410-861-6262

Provider Business Practice Location Address
First Line	:	50 ALBANY TPKE
Second Line	:	SUITE 5036
City	:	CANTON
State	:	CT
Zip	:	06019-2516
Country	:	US
Telephone Number	:	860-965-7500
Fax Number	:	410-861-6262

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. TRACY MILLS ECKERT
Credential	:	LPC, LADC
Telephone Number	:	860-965-7500

Provider Enumeration Date	:	07/08/2009
Last Update Date	:	07/08/2009

Similar Medicare Providers

1174831218 — CANTON PHYSICAL MEDICARE, LLC
Practice Location Address:

2050 CUMMING HWY , SUITE 100
CANTON, GA
30114-8614

Practice Phone: 770-345-9600
Practice Fax:

1477681278 — DR. BRENDA COYLE PH.D.
Practice Location Address:

50 ALBANY TPKE , SUITE 5023
CANTON, CT
06019-2516

Practice Phone: 860-335-5844
Practice Fax:

1972711109 — MS. DIANE MARY TOBIN MA,NCC,LPC
Practice Location Address:

50 ALBANY TPKE BLDG 5 FLOOR 2
CANTON, CT
06019-2516

Practice Phone: 860-485-4245
Practice Fax: 860-482-0737

1225218613 — MRS. CHANTEL MARIE GINEO MS, LPC
Practice Location Address:

50 ALBANY TPKE , SUITE 3010
CANTON, CT
06019-2516

Practice Phone: 860-637-6559
Practice Fax:

1376729624 — JUDY CABECEIRAS
Practice Location Address:

50 ALBANY TPKE , SUITE 5036
CANTON, CT
06019-2516

Practice Phone: 860-693-1708
Practice Fax: 860-693-1758

1386873636 — SILVER COUNSELING SERVICES LLC
Practice Location Address:

50 ALBANY TPKE , SUITE 5036
CANTON, CT
06019-2516

Practice Phone: 860-309-4896
Practice Fax: 410-861-6262

Directions to “TRACY ECKERT LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.