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

Tracy R Derickson

Individual provider Community/Behavioral Health Agency · NPI 1871389114

Tracy R Derickson is a Community/Behavioral Health Agency in Timnath, Colorado. Practices as a sole proprietor. Licensed in Wyoming.

Licensed in
WY
In the registry since
2025

Practice location Address checks out

1272 Wolfhound St
Timnath, CO 80547-4488
Phone: (970) 231-0341
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X (WY)

Record details

NPI number1871389114
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 15, 2025
Last updated in NPPESApril 15, 2025
Certification dateApril 15, 2025
Mailing address1055 South St, Wheatland, WY 82201-2949

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