TANYA HENDRICKS CDCA
NPI 1699208645
Counselor - Addiction (Substance Use Disorder) in Lorain, OH

Active since April 06, 2017
2115 W PARK DR, LORAIN, OH 44053(440) 989-4987(440) 282-4779 Get Directions Write a Review

NPPES record last updated: April 6, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tanya Hendricks Cdca NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TANYA HENDRICKS CDCA (NPI 1699208645) is an individual addiction (substance use disorder) provider in Lorain, Ohio, licensed in Ohio (CDCA.163066) and active in the NPI registry since April 2017.

NPPES Registry Identity

NPI1699208645
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameTANYA HENDRICKSCredential: CDCA
Location Address2115 W PARK DRLorain, OH 44053-1138
Mailing Address2115 W Park DrLorain, OH 44053-1138 · (440) 989-4987 · Fax (440) 282-4779
Fax(440) 282-4779
Sole ProprietorYes
Enumeration DateApril 6, 2017
NPI 1699208645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in OH · CDCA.163066
2115 W PARK DR, Lorain, OH 44053

Other Identifiers 1

OtherCDCA.163066OH · License

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Prevention Professional
2115 W PARK DR
LORAIN, OH 44053
Licensed Practical Nurse
2115 W PARK DR
LORAIN, OH 44053
Prevention Professional
2115 W PARK DR
LORAIN, OH 44053
Registered Nurse (Addiction (Substance Use Disorder))
2115 W PARK DR
LORAIN, OH 44053
Counselor (Addiction (Substance Use Disorder))
2115 W PARK DR
LORAIN, OH 44053
Community/Behavioral Health
2115 W PARK DR
LORAIN, OH 44053
Registered Nurse
2115 W PARK DR
LORAIN, OH 44053
Counselor (Addiction (Substance Use Disorder))
2115 W PARK DR
LORAIN, OH 44053

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tanya Hendricks's NPI number?

The NPI number for Tanya Hendricks is 1699208645. It was assigned to this individual provider in the NPPES registry on April 6, 2017.

Where is Tanya Hendricks located?

Tanya Hendricks practices at 2115 W Park Dr, Lorain, OH 44053. The listed phone number is (440) 989-4987.

What is Tanya Hendricks's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Tanya Hendricks was last updated on April 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.