Healthcare Provider Details

I. General information

NPI: 1073417317
Provider Name (Legal Business Name): TIERA ROGERS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4721 READING RD
CINCINNATI OH
45237-6107
US

IV. Provider business mailing address

710 W COURT ST
CINCINNATI OH
45203-1307
US

V. Phone/Fax

Practice location:
  • Phone: 513-653-0845
  • Fax:
Mailing address:
  • Phone: 513-384-2262
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: