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

Tracey Wisdom, LCDC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1174329262

Tracey Wisdom, LCDC is an Addiction (Substance Use Disorder) Counselor in Longview, Texas. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

201 Pine Tree Rd
Longview, TX 75604-4140
Phone: (903) 759-4966
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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

Record details

NPI number1174329262
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCDC
Sole proprietorYes
NPI enumeratedFebruary 20, 2025
Last updated in NPPESFebruary 20, 2025
Certification dateFebruary 20, 2025
Mailing address201 Pine Tree Rd, Longview, TX 75604-4140

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