Healthcare Provider Details

I. General information

NPI: 1609522010
Provider Name (Legal Business Name): TARA PLYMESSER CDCA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: TARA ENGLAND

II. Dates (important events)

Enumeration Date: 02/24/2022
Last Update Date: 04/23/2025
Certification Date: 04/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

709 N HIGH ST
MOUNT ORAB OH
45154-6501
US

IV. Provider business mailing address

2600 VICTORY PKWY
CINCINNATI OH
45206-1395
US

V. Phone/Fax

Practice location:
  • Phone: 513-751-7747
  • Fax:
Mailing address:
  • Phone: 513-751-7747
  • 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 TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCDCA.187688
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: