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General NPI Number Information
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NPI Number | 1326990490
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Entity Type | Individual
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Provider Name | TRACY MANFORD CARLSON M.ED.
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Gender | Female
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Dates
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Enumeration Date | 02/11/2026
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Last Update Date | 03/05/2026
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Provider Practice Location Address
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Address Line | 16225 PARK TEN PL STE 500
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City | HOUSTON
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State | TX
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Zip | 77084-5152
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Country | US
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Telephone | 832-844-1513
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Fax |
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Provider Business Mailing Address
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Address Line | 3514 PALM GROVE DR
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City | MISSOURI CITY
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State | TX
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Zip | 77459-3051
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Country | US
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Telephone | 713-518-5516
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 101642
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License Number State | TX
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