Individual provider · Type 1 NPI

Tanesha Ivory

Peer Specialist · Cleveland, OH

NPI number 1396673455 Active

Practice location

4887 W 13th St
Cleveland, OH 44109-5655

Call (216) 501-2310 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XPRS.007756 (OH)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1396673455

Tanesha Ivory's National Provider Identifier is 1396673455, issued on May 11, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Cleveland, OH. The record was last updated on May 11, 2026.