Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amanda Louise Tackett

Individual provider Case Manager/Care Coordinator · NPI 1760091425

Amanda Louise Tackett is a Case Manager/Care Coordinator in Portsmouth, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2020
Specialties on file
3
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Practice location Address checks out

411 Court St
Portsmouth, OH 45662-3932
Phone: (740) 354-6685
Fax: (740) 876-4005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CDCA.181997 (OH)
Case Manager/Care Coordinator Taxonomy 171M00000X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X

Record details

NPI number1760091425
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 29, 2020
Last updated in NPPESMay 13, 2024
Certification dateMay 13, 2024

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