Provider Demographics
NPI:1285023432
Name:BIRNEY, TONYA LASHAWN (LPC, LICDC, OCPS II)
Entity Type:Individual
Prefix:MRS
First Name:TONYA
Middle Name:LASHAWN
Last Name:BIRNEY
Suffix:
Gender:F
Credentials:LPC, LICDC, OCPS II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25000 CENTER RIDGE RD
Mailing Address - Street 2:SUITE 6
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-4105
Mailing Address - Country:US
Mailing Address - Phone:440-892-7034
Mailing Address - Fax:440-250-9013
Practice Address - Street 1:25000 CENTER RIDGE RD
Practice Address - Street 2:SUITE 6
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-4105
Practice Address - Country:US
Practice Address - Phone:440-892-7034
Practice Address - Fax:440-250-9013
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-12
Last Update Date:2015-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH021140101YA0400X
OHC1200219101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)