Dissell, Tanya

Dissell, Tanya is an sole proprietor health care provider with primary practice located at 22001 Fairmount Blvd , Shaker Heights OH 44118-4819. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Dissell, Tanya can be contacted via phone (216) 932-2800.

Contact Information

Primary practice address
22001 Fairmount Blvd Shaker Heights OH 44118-4819
Phone: (216) 932-2800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X
Behavioral Health & Social Service Providers / Social Worker 104100000X S.2410357 Ohio

Profile Details

NPI number 1750873253
LBN Legal business name Dissell, Tanya
Credentials LSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 31st, 2018
Last updated Feb 8th, 2024 - about 9 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750873253 NPPES
Ohio MEDICAID 0292662

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