Provider Demographics
NPI:1720333784
Name:WRIGHT, TANYA D (LPCC)
Entity Type:Individual
Prefix:MRS
First Name:TANYA
Middle Name:D
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46 WANDLE AVE
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:OH
Mailing Address - Zip Code:44146-2654
Mailing Address - Country:US
Mailing Address - Phone:216-308-0213
Mailing Address - Fax:
Practice Address - Street 1:30505 BAINBRIDGE RD STE 110F
Practice Address - Street 2:
Practice Address - City:SOLON
Practice Address - State:OH
Practice Address - Zip Code:44139-2272
Practice Address - Country:US
Practice Address - Phone:216-308-0213
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-16
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.1000029101YP1600X, 101YM0800X
OHPT.005313225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist