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

Sara Tackett, CCMA

Individual provider Peer Specialist · NPI 1194310094

Sara Tackett, CCMA is a Peer Specialist in Warren, Ohio. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

552 N Park Ave
Warren, OH 44481-1117
Phone: (234) 243-3127
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1194310094
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCMA
Sole proprietorNo
NPI enumeratedMarch 3, 2021
Last updated in NPPESMarch 3, 2021
Certification dateMarch 3, 2021
Mailing address5314 Us Route 322, Williamsfield, OH 44093-9736

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