| Doctor Name: | MRS. RENITA JOYCE TACKETT |
| NPI Number: | 1003113648 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPCC |
| License Number: | KY1031 |
| Business Practice Address: | 146 Church Of Christ Way Fords Branch Church Of Crist Pikeville, KY - 415018944 |
| Business Phone Number: | 6062137830 |
| Business Fax Number: | |
| Mailing Address: | 155 Little Creek Road, PIKEVILLE |
| State: | KY |
| Postal Code: | 41501 |
| Phone Number: | 6066392969 |
| Fax Number: | |
| NPI Enumeration Date: | 02/17/2011 |
| NPI Last Update Date: | 08/20/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | KY1031 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |