Tackett, Jereny S

Tackett, Jereny S is an individual health care provider with primary practice located at 7160 N Mayo Trl , Pikeville KY 41501-3151. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Tackett, Jereny S can be contacted via phone (606) 657-9988.

Contact Information

Primary practice address
7160 N Mayo Trl Pikeville KY 41501-3151
Phone: (606) 657-9988
Fax: (606) 653-0691
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Case Manager/Care Coordinator 171M00000X Kentucky

Profile Details

NPI number 1184794125
LBN Legal business name Tackett, Jereny S
Credentials BA MHA
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2006
Last updated May 24th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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