Healthcare Provider Details

I. General information

NPI: 1083428163
Provider Name (Legal Business Name): TRACY LYNN OPIE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: TRACY LYNN STEINHOFF LPCC

II. Dates (important events)

Enumeration Date: 02/06/2025
Last Update Date: 02/10/2025
Certification Date: 02/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 FREEMAN DR
SAINT PETER MN
56082-3504
US

IV. Provider business mailing address

100 FREEMAN DR
SAINT PETER MN
56082-3504
US

V. Phone/Fax

Practice location:
  • Phone: 507-985-2446
  • Fax:
Mailing address:
  • Phone: 507-985-2446
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number802
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: