Mr Allen B Tacke, LPC | |
607 Ingleside Ave, Athens, TN 37303-3749 | |
(423) 745-8942 | |
Not Available |
Full Name | Mr Allen B Tacke |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 607 Ingleside Ave, Athens, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285870196 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 2408 (Tennessee) | Primary |
Entity Name | Navos |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194728105 PECOS PAC ID: 4385545474 Enrollment ID: O20040120001086 |
Mailing Address | Practice Location Address |
---|---|
Mr Allen B Tacke, LPC 1640 Ward Rd, Decatur, TN 37322-4801 Ph: (423) 667-7015 | Mr Allen B Tacke, LPC 607 Ingleside Ave, Athens, TN 37303-3749 Ph: (423) 745-8942 |
Mr. William Keith Daugherty, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2336 Congress Pkwy S, Athens, TN 37303 Phone: 423-507-0887 | |
Annie Borba, Counselor Medicare: Not Enrolled in Medicare Practice Location: 519 Brewer St, Athens, TN 37303 Phone: 423-333-0226 | |
Thelma Jean Barr, MASTERS COUNSELING Counselor Medicare: Not Enrolled in Medicare Practice Location: 584 Congress Pkwy S, Athens, TN 37303 Phone: 865-637-9711 | |
Julie Ann Raulie, LPC-MHSP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1135 County Road 750, Athens, TN 37303 Phone: 423-453-7584 Fax: 423-745-1343 | |
Shirley R. Koors, MMFT, LPC-MHSP Counselor Medicare: Not Enrolled in Medicare Practice Location: 942 County Road 609, Athens, TN 37303 Phone: 931-797-8461 | |
Mrs. Stephanie Johnston, Counselor Medicare: Not Enrolled in Medicare Practice Location: 704 W Madison Ave, Athens, TN 37303 Phone: 877-258-8795 Fax: 865-525-0393 |