Healthcare Provider Details

I. General information

NPI: 1851948434
Provider Name (Legal Business Name): TRISHA EDDY CDCA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2019
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 S MAPLE ST
AKRON OH
44302-1629
US

IV. Provider business mailing address

2866 CORY AVE
AKRON OH
44314-1255
US

V. Phone/Fax

Practice location:
  • Phone: 800-534-2639
  • Fax: 800-480-7578
Mailing address:
  • Phone: 330-714-1358
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License NumberAPS.001115
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCDCA.175065
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: