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

Stacy Lynn Tackett

Individual provider Mental Health Counselor · NPI 1063146751

Stacy Lynn Tackett is a Mental Health Counselor in Waverly, Ohio. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2

Practice location Address checks out

196 E Emmitt Ave
Waverly, OH 45690-1334
Phone: (740) 912-9499
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1063146751
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 11, 2022
Last updated in NPPESJuly 11, 2022
Certification dateJuly 11, 2022
Mailing address1174 Millers Ln, Waverly, OH 45690-9719

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