Timothy Tackett's National Provider Identifier (NPI) Details
Timothy Tackett, LMHC
NPI: 1861050247
Enumeration Date: 2019-05-31
Last updated: 2022-09-27
Sole Proprietor: NO
Status: active
Postal Address: 4300 SW 13TH ST, GAINESVILLE, FL
Phone: 352-374-5600
Primary Practice Address: 4300 SW 13TH ST # 2, GAINESVILLE, FL
Practice's phone: 352-374-5600