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MR. JERRY LLOYD TACKETT IMHC
NPI 1649496399
Counselor - Mental Health in Vero Beach, FL

Active since April 18, 2007
1145 12TH ST, VERO BEACH, FL 32960(772) 559-8673(772) 562-9451 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Jerry Lloyd Tackett Imhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JERRY LLOYD TACKETT IMHC (NPI 1649496399) is an individual mental health provider in Vero Beach, Florida and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1649496399
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. JERRY LLOYD TACKETTCredential: IMHC
Location Address1145 12TH STVero Beach, FL 32960-3718
Mailing AddressPo Box 691114Vero Beach, FL 32969-1114 · (772) 559-8673 · Fax (772) 562-9451
Phone(772) 559-8673
Fax(772) 562-9451
Sole ProprietorYes
Enumeration DateApril 18, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1649496399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1145 12TH ST, Vero Beach, FL 32960
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID T THOMAS M.S
Counselor (Mental Health)
1145 12TH ST
VERO BEACH, FL 32960
Indian River County (772) 569-9601
SANDRA MARGARITA ALICEA LCSW
Counselor (Mental Health)
1145 12TH ST
VERO BEACH, FL 32960
Indian River County (772) 299-7293
HIBISCUS CHILDREN'S CENTER
Community/Behavioral Health
1145 12TH ST
VERO BEACH, FL 32960
Indian River County (772) 299-7293
ALYSE HANCOCK
Counselor (Mental Health)
1145 12TH ST
VERO BEACH, FL 32960
Indian River County (772) 299-6011

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry Tackett's NPI number?

The NPI number for Jerry Tackett is 1649496399. It was assigned to this individual provider in the NPPES registry on April 18, 2007.

Where is Jerry Tackett located?

Jerry Tackett practices at 1145 12th St, Vero Beach, FL 32960. The listed phone number is (772) 559-8673.

What is Jerry Tackett's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jerry Tackett was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.