FRANCES ERNESTINE TACK MS LPC LCAS CCS NPI 1134316557

NPI Information

  • NPI: 1134316557
  • Provider Name: FRANCES ERNESTINE TACK, MS, LPC, LCAS, CCS
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 1335 ELIZABETH AVE.
    BELK 3157
    CHARLOTTE, NC
    ZIP 28235
  • Phone: (704) 330-6749

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NPI Details

Frances Ernestine Tack, MS, LPC, LCAS, CCS is an addiction (substance use disorder) counselor in Charlotte, NC. Frances Ernestine Tack, MS, LPC, LCAS, CCS NPI is 1134316557. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1335 ELIZABETH AVE.
BELK 3157
CHARLOTTE, NC
ZIP 28235-009
Phone: (704) 330-6749
Fax: (704) 330-6410

The enumeration date for this NPI number is 9/30/2007 and was last updated on 9/9/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselorLPC 2763NORTH CAROLINANo
2101YA0400XCounselorAddiction (Substance Use Disorder)LCAS 675NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16102860MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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