Individual
MS. TASHEANNA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
3675 WARRENSVILLE CENTER RD UNIT 201243, SHAKER HEIGHTS, OH 44120-5266
(216) 972-4000
Mailing address
3675 WARRENSVILLE CENTER RD UNIT 201243, SHAKER HEIGHTS, OH 44120-5266
(216) 972-4000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
OH
171M00000X
Case Manager/Care Coordinator
—
OH
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
OH
251S00000X
Community/Behavioral Health Agency
—
OH
251X00000X
Supports Brokerage Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
OH
332U00000X
Home Delivered Meals
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0026504
—
OH
Enumeration date
11/05/2018
Last updated
07/09/2024
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