Individual
CAITLIN TACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
712 W 3RD ST, LITTLE ROCK, AR 72201-2220
(501) 794-2463
(844) 605-1515
Mailing address
712 W 3RD ST, LITTLE ROCK, AR 72201-2220
(501) 794-2463
(844) 605-1515
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/16/2021
Last updated
07/23/2025
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