Healthcare Provider Details

I. General information

NPI: 1275014300
Provider Name (Legal Business Name): TAISHA CROMITY M.S.C., LPCC-S, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/27/2018
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4276 MONTICELLO BLVD
SOUTH EUCLID OH
44121-2815
US

IV. Provider business mailing address

6733 BALSAM DR
BEDFORD HEIGHTS OH
44146-4806
US

V. Phone/Fax

Practice location:
  • Phone: 216-851-1853
  • Fax:
Mailing address:
  • Phone: 216-214-8844
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE.1200340-SUPV
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: