Healthcare Provider Details

I. General information

NPI: 1003522020
Provider Name (Legal Business Name): TAMARA C WRIGHT CDCA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/24/2023
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6495 E BROAD ST
COLUMBUS OH
43213-1541
US

IV. Provider business mailing address

8444 N 90TH ST STE 100
SCOTTSDALE AZ
85258-4437
US

V. Phone/Fax

Practice location:
  • Phone: 380-799-5750
  • Fax:
Mailing address:
  • Phone: 855-203-6352
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCDCA.192337
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: