Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Tracey Lee Puckett Sr., CDCA, QMHS, BA

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1740786706

Mr. Tracey Lee Puckett Sr., CDCA, QMHS, BA is an Addiction (Substance Use Disorder) Counselor in Columbus, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2018
What do these letters mean?
BA — Bachelor of Arts
An undergraduate arts degree.

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Practice location Address checks out

899 E Broad St # 110
Columbus, OH 43205-1156
Phone: (614) 220-8655
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 130994 (OH)

Record details

NPI number1740786706
Entity typeIndividual (Type 1)
GenderMale
Credentials CDCA , QMHS , BA
Sole proprietorYes
NPI enumeratedMarch 30, 2018
Last updated in NPPESMarch 30, 2018

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