Individual provider · Type 1 NPI

Tracey R. Bourne, L.M.H.C.

Mental Health Counselor · Clearwater, FL

NPI number 1174943526 Active

Practice location

13575 58th St N Ste 188
Clearwater, FL 33760-3741

Call (727) 314-1224 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X18886 (CA)
Mental Health Counselor Primary 101YM0800XMH11645 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1174943526

Tracey R. Bourne, L.M.H.C.'s National Provider Identifier is 1174943526, issued on Apr 24, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Clearwater, FL. The record was last updated on Mar 7, 2025.