| Tonya Black, Lpcc-s | |
|
13110 Shaker Sq Ste C200-e Cleveland OH 44120-2373 | |
| (216) 352-3922 | |
| Not Available |
| Full Name | Tonya Black, Lpcc-s |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 13110 Shaker Sq Ste C200-e, Cleveland, Ohio |
| Authorized Official Name and Position | Tonya Black (CLINICAL COUNSELOR) |
| Authorized Official Contact | 2163523922 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tonya Black, Lpcc-s 3311 Hyde Park Ave Cleveland Heights OH 44118-2133 Ph: (216) 352-3922 | Tonya Black, Lpcc-s 13110 Shaker Sq Ste C200-e Cleveland OH 44120-2373 Ph: (216) 352-3922 |
| NPI Number | 1447642186 |
|---|---|
| Provider Enumeration Date | 03/03/2015 |
| Last Update Date | 05/11/2023 |
| Certification Date | 05/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447642186 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | E. 0004270 (Ohio) | Primary |
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