Healthcare Provider Details
I. General information
NPI: 1083524631
Provider Name (Legal Business Name): TRACY ESSA COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1111 PAINE ST STE L
DECORAH IA
52101-2411
US
IV. Provider business mailing address
809 LINDEN ST
DECORAH IA
52101-2013
US
V. Phone/Fax
- Phone: 563-223-8633
- Fax:
- Phone: 563-202-0716
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0801X |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
TRACY
LYNN
ESSA
Title or Position: THERAPIST
Credential: T-LMHC
Phone: 563-202-0716