DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: TRACY LYNN HOLLIS MSW

MEDICARE: TRACY LYNN HOLLIS MSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor5304001762MI

General Provider Information

NPI Number : 1184061152
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRACY LYNN HOLLIS MSW
Provider Business Mailing Address
First Line : 1044 GILBERT ST
Second Line :
City : FLINT
State : MI
Zip : 48532-3527
Country : US
Telephone Number : 810-422-9406
Fax Number :
Provider Business Practice Location Address
First Line : 1044 GILBERT ST
Second Line :
City : FLINT
State : MI
Zip : 48532-3527
Country : US
Telephone Number : 810-422-9406
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2013
Last Update Date : 05/30/2013

Similar Medicare Providers

1659717247 — BIO-MED BEHAVIORAL HEALTH SERVICES INC.
Practice Location Address:
1044 GILBERT ST
FLINT, MI
48532-3527
Practice Phone: 810-422-9406
Practice Fax: 810-410-4678
1245369867 — KATHRYN ANN BAMBA BS CADC
Practice Location Address:
1044 GILBERT ST
FLINT, MI
48532-3527
Practice Phone: 810-422-9406
Practice Fax:
1760829741 — DIXIE LEE HINTZ MA LBSW CAADC
Practice Location Address:
1044 GILBERT ST
FLINT, MI
48532-3527
Practice Phone: 810-422-9406
Practice Fax: 810-410-4678
1841602166 — MS. SAMANTHA MICHELLE STACK
Practice Location Address:
1044 GILBERT ST
FLINT, MI
48532-3527
Practice Phone: 810-422-7623
Practice Fax: 810-733-7623
1922407246 — MR. JEFFERY JOSEPH BROCKETT B.A
Practice Location Address:
1044 GILBERT ST
FLINT, MI
48532-3527
Practice Phone: 810-422-9406
Practice Fax: 810-410-4678
1205214988 — SIMONE RENE JACKSON MAS (AJS)
Practice Location Address:
1044 GILBERT ST
FLINT, MI
48532-3527
Practice Phone: 810-422-9406
Practice Fax: 810-733-7623

Directions to “ TRACY LYNN HOLLIS MSW” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.