Luckett, Tara M

Luckett, Tara M is an sole proprietor health care provider with primary practice located at 780 Gregg St , Washington Court House OH 43160-1564. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Luckett, Tara M can be contacted via phone (740) 313-7513.

Contact Information

Primary practice address
780 Gregg St Washington Court House OH 43160-1564
Phone: (740) 313-7513
Fax: (740) 313-7514
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 179173 Ohio
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1174280762
LBN Legal business name Luckett, Tara M
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 18th, 2021
Last updated Jan 4th, 2024 - about 11 months 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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