=====================================================
General NPI Number Information
=====================================================
NPI Number | 1932075439
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TALK WITH TRACEY LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/13/2025
-----------------------------------------------------
Last Update Date | 10/13/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8245 BOONE BLVD STE 630
-----------------------------------------------------
City | VIENNA
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 22182-3894
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 202-798-4911
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8609 WESTWOOD CENTER DRIVE SUITE 110 #1080
-----------------------------------------------------
City | TYSONS CORNER
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 22182
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 202-798-4911
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | TRACEY KNOWS
-----------------------------------------------------
Credential | LPC
-----------------------------------------------------
Telephone | 202-798-4911
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101Y00000X
-----------------------------------------------------
Taxonomy Name | Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------