Peacock, Tasha Maria

Peacock, Tasha Maria is an sole proprietor health care provider with primary practice located at 5332 Hollywood Ave , Maple Heights OH 44137. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Pastoral, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is her primary health care specialty. Peacock, Tasha Maria can be contacted via phone (330) 983-7422.

Contact Information

Primary practice address
5332 Hollywood Ave Maple Heights OH 44137
Phone: (330) 983-7422
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Pastoral 101YP1600X Ohio
Other Service Providers / Community Health Worker 172V00000X CHW002436 Ohio

Profile Details

NPI number 1477308773
LBN Legal business name Peacock, Tasha Maria
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 19th, 2024
Last updated Apr 19th, 2024 - about 8 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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