National Provider Identifier

Tracey Fillmore, LMHC

Tracey Fillmore, LMHC is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Rochester, NY and a listed phone number of (585) 748-0553.

NPI 1205367216Rochester, NYMental Health Counselor

Profile Overview

NPI
1205367216
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
March 22, 2017
Last Updated
January 29, 2021

Practice Location

  • 79 Arvine Heighs
  • 2
  • Rochester, NY 14611

Phone: (585) 748-0553

Mailing Address

  • 79 Arvine Hts
  • Rochester, NY 14611-4113

Specialties

  • Mental Health Counselor (101YM0800X)
  • Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
NPI
1205367216
Entity Type
Individual
Last Name
Fillmore
First Name
Tracey
Credential
LMHC
Mailing Street Address
79 Arvine Hts
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14611-4113
Mailing Country
US
Practice Street Address
79 Arvine Heighs
Practice Address Line 2
2
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14611
Practice Country
US
Practice Phone
(585) 748-0553
Enumeration Date
March 22, 2017
Last Updated
January 29, 2021
Sex
Female
Sole Proprietor
No
Certification Date
January 13, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X), Addiction (Substance Use Disorder) Counselor (101YA0400X)