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

Vladimir Tackett

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1255186896

Vladimir Tackett is an Addiction (Substance Use Disorder) Counselor in Waverly, Ohio. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2

Practice location Address checks out

14574 US Highway 23
Waverly, OH 45690-9373
Phone: (740) 876-2260
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 number1255186896
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 18, 2024
Last updated in NPPESApril 18, 2024
Certification dateApril 18, 2024
Mailing address301 Lunbeck Rd, Chillicothe, OH 45601-8434

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