Jannie Tackett, LPC | |
101 S Church St Ste 201, Jonesboro, AR 72401-2994 | |
(870) 613-1310 | |
Not Available |
Full Name | Jannie Tackett |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 101 S Church St Ste 201, Jonesboro, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124224035 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | P1210095 (Arkansas) | Primary |
Entity Name | Life Strategies Counseling, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932154945 PECOS PAC ID: 5890887475 Enrollment ID: O20131112001495 |
Entity Name | Optum Behavioral Care Of North Carolina, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306613880 PECOS PAC ID: 5092120030 Enrollment ID: O20240321002678 |
Mailing Address | Practice Location Address |
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Jannie Tackett, LPC Po Box 444, Bay, AR 72411-0444 Ph: (870) 613-1310 | Jannie Tackett, LPC 101 S Church St Ste 201, Jonesboro, AR 72401-2994 Ph: (870) 613-1310 |
Trebor Wellington Bosley, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1815 Pleasant Grove Rd, Jonesboro, AR 72405 Phone: 870-933-6886 Fax: 870-933-9395 | |
Shelena White, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2707 Browns Ln, Jonesboro, AR 72401 Phone: 870-972-4080 Fax: 870-972-4905 | |
Kiara Danyel Griffin, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1815 Pleasant Grove Road, Jonesboro, AR 72405 Phone: 870-933-6886 Fax: 870-933-9395 | |
Bethany Batchelor, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2200 E Matthews Ave, Jonesboro, AR 72401 Phone: 870-972-1268 Fax: 870-934-0847 | |
Mrs. Heather Renee Parker, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2707 Browns Ln, Jonesboro, AR 72401 Phone: 870-972-4939 Fax: 870-972-4911 | |
Mr. Jeremy Russell Anderson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1815 Pleasant Grove Road, Jonesboro, AR 72401 Phone: 870-933-6886 Fax: 870-933-9395 | |
Mrs. Jamie F. Fain, CADC, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3308 Redwood Cv, Jonesboro, AR 72404 Phone: 870-219-3606 |