Healthcare Provider Details

I. General information

NPI: 1922597210
Provider Name (Legal Business Name): CUYAHOGA COUNTY TASC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2018
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1276 WEST 3RD STREET SUITE 210
CLEVELAND OH
44113-1514
US

IV. Provider business mailing address

1276 WEST 3RD STREET SUITE 210
CLEVELAND OH
44113-1514
US

V. Phone/Fax

Practice location:
  • Phone: 216-443-8250
  • Fax: 216-443-8274
Mailing address:
  • Phone: 216-443-8250
  • Fax: 216-443-8274

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: MS. RONDA BLANEY
Title or Position: MANAGER
Credential: MS, LSW, LCPC-CV
Phone: 216-443-8253