Tracy Lynn Tackett, LPC is a
Counselor - Professional based in Holts Summit, Missouri. Tracy Lynn Tackett is licensed to practice in Missouri (license number 2017035089) and her current practice location is
12110 County Road 4040, Holts Summit, Missouri. She can be reached at her office (for appointments etc.) via phone at
(573) 220-3797.
NPI number for Tracy Lynn Tackett is 1417698689 and her current mailing address is 12110 County Road 4040, Holts Summit, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417698689.
Healthcare Provider's Profile
Full Name | Tracy Lynn Tackett |
---|
Gender | Female |
---|
Speciality | Counselor - Professional |
---|
Location | 12110 County Road 4040, Holts Summit, Missouri |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1417698689
- Provider Enumeration Date: 04/04/2022
- Last Update Date: 07/18/2022
Medical Identifiers
Medical identifiers for Tracy Lynn Tackett such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417698689 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 2017035089 (Missouri) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tracy Lynn Tackett is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Tracy Lynn Tackett, LPC 12110 County Road 4040, Holts Summit, MO 65043-1713 Ph: (573) 220-3797 | Tracy Lynn Tackett, LPC 12110 County Road 4040, Holts Summit, MO 65043-1713 Ph: (573) 220-3797 |
Reviews and Comments