# TACKLE HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932784709
- **Authorized official:** LACEY LEONARD (PRESIDENT)
- **Authorized official phone:** (559) 403-6365

## Contact information

- **Practice address:** 2737 W BASELINE RD STE 19, TEMPE, AZ 85283-1051
- **Practice address phone:** (480) 219-9735
- **Mailing address:** 2737 W BASELINE RD STE 19, TEMPE, AZ 85283-1051
- **Mailing address phone:** (480) 219-9735
- **Mailing address fax:** (480) 219-9558

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 03/13/2021
- **Last updated:** 12/22/2021