Organization
TACKLE HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LACEY LEONARD (PRESIDENT)
(559) 403-6365
Entity
Organization
Contact information
Practice address
2737 W BASELINE RD STE 19, TEMPE, AZ 85283-1051
(480) 219-9735
Mailing address
2737 W BASELINE RD STE 19, TEMPE, AZ 85283-1051
(480) 219-9735
(480) 219-9558
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/13/2021
Last updated
12/22/2021
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