Healthcare Provider Details

I. General information

NPI: 1275742116
Provider Name (Legal Business Name): TRACI LYNN CEKANDER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2007
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8040 GEORGIA AVE STE 170
SILVER SPRING MD
20910-4959
US

IV. Provider business mailing address

8040 GEORGIA AVE STE 170
SILVER SPRING MD
20910-4959
US

V. Phone/Fax

Practice location:
  • Phone: 888-879-9786
  • Fax:
Mailing address:
  • Phone: 888-879-9786
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6401006644
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: