Tracy Hicks
Addiction Counselor (Substance Use Disorder)
1644 Jackson St
Barnwell
, South Carolina 29812-2156
Tracy Hicks
Addiction Counselor (Substance Use Disorder)
1644 Jackson St
Barnwell
, South Carolina 29812-2156
(803) 541-1247
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About
Features
Specialties
- Addiction Counselor (Substance Use Disorder)
Languages spoken
- English
Location
First Address
- Tracy Hicks
- 1644 Jackson St
- Barnwell, SC
- Zip : 29812-2156
- Fax : (803) 541-1247
- Phone : (803) 541-1245
Second Address
- Tracy Hicks
- 1644 Jackson St
- Barnwell, SC
- Zip : 29812-2156
- Fax : (803) 541-1247
- Phone : (803) 541-1245
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) |
National Provider Identifier
| NPI | 1003296427 |
|---|---|
| Provider Name | Tracy Hicks |
| First Address | Barnwell, SC 29812-2156 |
| Second Address | Barnwell, SC 29812-2156 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/06/2015 |
| Last Update Date | 01/06/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.