Provider Demographics
NPI:1467992024
Name:LIANG, TRACY LU (LMHC-D)
Entity type:Individual
Prefix:MS
First Name:TRACY
Middle Name:LU
Last Name:LIANG
Suffix:
Gender:F
Credentials:LMHC-D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13225 MAPLE AVE APT 209
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-4453
Mailing Address - Country:US
Mailing Address - Phone:646-920-0993
Mailing Address - Fax:
Practice Address - Street 1:9334 91ST AVE
Practice Address - Street 2:
Practice Address - City:WOODHAVEN
Practice Address - State:NY
Practice Address - Zip Code:11421-2739
Practice Address - Country:US
Practice Address - Phone:646-920-0993
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-02
Last Update Date:2025-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010091101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health