Healthcare Provider Details

I. General information

NPI: 1386578839
Provider Name (Legal Business Name): TRACEY MORSE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4801 FRANK HENGEL WAY
OAKLEY CA
94561-3720
US

IV. Provider business mailing address

4801 FRANK HENGEL WAY
OAKLEY CA
94561-3720
US

V. Phone/Fax

Practice location:
  • Phone: 925-625-6825
  • Fax: 925-625-6866
Mailing address:
  • Phone: 925-625-6825
  • Fax: 925-625-6866

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: