Tracie Coleman | Memphis, TN • PECOS Search

Tracie Coleman

Social Worker

Behavioral Health & Social Service Providers

1265 Union Ave, Memphis, TN 38104-3415

(901) 356-2770 (901) 238-5773

PECOS Enrollment

Based on the most recent information from CMS, provider Tracie Coleman does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1154064657
Provider Type
Individual
Full Name
Coleman, Tracie
Credential
LCSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
4/14/2022
Last Updated
4/14/2022

Contact Information

Practice Location

1265 Union Ave, Memphis, TN 38104-3415

Unlisted Fax

Mailing Location

9288 Garden Woods Cv, Cordova, TN 38016-4727

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License SW19506 Florida