Individual provider · Type 1 NPI

Tracey Moulton, LMHC

Mental Health Counselor · Miami Lakes, FL

NPI number 1043876758 Active

Practice location

14645 NW 77th Ave Ste 101
Miami Lakes, FL 33014-2569

Call (833) 769-3524 Map

Mailing address

650 W Grand Ave Ste 207
Elmhurst, IL 60126-1025

Other practice locations

  • 650 W Grand Ave Ste 207, Elmhurst, IL 60126-1025 · (844) 263-1613

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH23302 (FL)
Behavior Technician 106S00000X19-76571

Mental Health Counselor: Definition to come...

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About NPI 1043876758

Tracey Moulton, LMHC's National Provider Identifier is 1043876758, issued on May 17, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Miami Lakes, FL. The record was last updated on Mar 11, 2024.