Search › Texas › 101YA0400X
Tracey Wisdom, LCDC
NPI 1174329262 · on the registry since 2025 · sole proprietor
Practice
- Address
- 201 Pine Tree Rd
Longview, TX 75604 - Phone
- (903) 759-4966
- Organisation at this address
- East Texas Clinic Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Sex
- Female
- Record last updated
- 2025-02-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas