Alivia Raye Tackett
APRN | Nurse Practitioner - Psych/Mental Health | 4+ years Exp
840 Gallia St, Portsmouth
Ohio, 45662-4232
740-354-0700
Accepts Medicare Nurse Anesthetist in Portsmouth, Ohio.Alivia Raye Tackett is a Portsmouth, Ohio based nurse practitioner with 4 years of experience in Psych/Mental Health. She completed her graduation in 2021. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Alivia Raye Tackett is 3016340 for Psych/Mental Health in Kentucky. Her current practice location is 840 Gallia St, Portsmouth. Patients can reach her at 740-354-0700 or can fax her at 740-876-8691. Alivia Raye Tackett is APRN with specialization in Psych/Mental Health and her NPI number (Unique professional ID assigned by NPPES) is 1124797113.
Alivia Raye Tackett provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Alivia Raye Tackett speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Alivia Raye Tackett |
| Specialization: | Psych/Mental Health Nurse Practitioner (PMHNP) |
| Gender: | Female |
| Credentials: | APRN |
| Experience: | 4+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2021 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 840 Gallia St, Portsmouth, Ohio, 45662-4232 |
| Phone: | 740-354-0700 |
| Fax: | 740-876-8691 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 0143619031 |
| Enrollment ID: | I20211115002716 |
| NPI Number: | 1124797113 |
| NPI Enumeration Date: | 13 Sep, 2021 |
| NPI Last Update On: | 24 Oct, 2024 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Alivia Raye Tackett are as mentioned below.
| License Number | Specialization | State | Status | |
| 3016340 | Psych/Mental Health | Kentucky | Primary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Alivia Raye Tackett is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Regional Psychotherapy Services Inc (2668444357) | 7 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Alivia Raye Tackett 840 Gallia St, Portsmouth, Ohio |
| Zip: | 45662-4232 |
| Phone Number: | 740-354-0700 |
| Fax Number: | 740-876-8691 |
Patients can reach Alivia Raye Tackett at
840 Gallia St, Portsmouth, Ohio or can
call to book an appointment on 740-354-0700.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.