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

Crisinda Tackett, LPCC-SUPV

Individual provider Mental Health Counselor · NPI 1093671521

Crisinda Tackett, LPCC-SUPV is a Mental Health Counselor in Dayton, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2025

Practice location Address checks out

4913 Bonnie Rd
Dayton, OH 45440-2126
Phone: (937) 546-7858
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence E.0008294-SUPV (OH)

Record details

NPI number1093671521
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPCC-SUPV
Sole proprietorYes
NPI enumeratedDecember 29, 2025
Last updated in NPPESDecember 30, 2025
Certification dateDecember 30, 2025

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