| Mr Allen B Tacke, LPC | |
| 607 Ingleside Ave, Athens, TN 37303-3749 | |
| (423) 745-8942 | |
| Not Available | 
| Full Name | Mr Allen B Tacke | 
|---|---|
| Gender | Male | 
| Speciality | Counselor - Professional | 
| Location | 607 Ingleside Ave, Athens, Tennessee | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1285870196 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2408 (Tennessee) | Primary | 
| Entity Name | Navos | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1194728105 PECOS PAC ID: 4385545474 Enrollment ID: O20040120001086 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mr Allen B Tacke, LPC 1640 Ward Rd, Decatur, TN 37322-4801 Ph: (423) 667-7015 | Mr Allen B Tacke, LPC 607 Ingleside Ave, Athens, TN 37303-3749 Ph: (423) 745-8942 | 
| Mr. William Keith Daugherty,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 2336 Congress Pkwy S, Athens, TN 37303 Phone: 423-507-0887 | |
| Annie Borba,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 519 Brewer St, Athens, TN 37303 Phone: 423-333-0226 | |
| Llewellyn Cooper, PH.D Counselor Medicare: Not Enrolled in Medicare Practice Location: 2336 Congress Pkwy S, Athens, TN 37303 Phone: 423-507-0887 | |
| Thelma Jean Barr, MASTERS COUNSELING Counselor Medicare: Not Enrolled in Medicare Practice Location: 584 Congress Pkwy S, Athens, TN 37303 Phone: 865-637-9711 | |
| Julie Ann Raulie, LPC-MHSP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1135 County Road 750, Athens, TN 37303 Phone: 423-453-7584 Fax: 423-745-1343 | |
| Delphine Dah,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 2336 Congress Pkwy S, Athens, TN 37303 Phone: 423-507-0887 | |
| Nichole Elaine Thomas,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 2336 Congress Pkwy S, Athens, TN 37303 Phone: 423-507-0887 |