Individual provider · Type 1 NPI
Crisinda Tackett, LPCC-SUPV
Mental Health Counselor · Dayton, OH
NPI number
1093671521
Active
Practice location
4913 Bonnie Rd
Dayton, OH 45440-2126
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | E.0008294-SUPV (OH) |
Mental Health Counselor: Definition to come...
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About NPI 1093671521
Crisinda Tackett, LPCC-SUPV's National Provider Identifier is 1093671521, issued on Dec 29, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dayton, OH. The record was last updated on Dec 30, 2025.