MEDICARE: THE TEEN PARENT PLUG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174H00000X	Health Educator

General Provider Information

NPI Number	:	1093662272
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE TEEN PARENT PLUG

Provider Business Mailing Address
First Line	:	PO BOX 32
Second Line	:
City	:	AVON
State	:	OH
Zip	:	44011-0032
Country	:	US
Telephone Number	:	216-770-8830
Fax Number	:

Provider Business Practice Location Address
First Line	:	1601 CYPRESS E
Second Line	:
City	:	AVON
State	:	OH
Zip	:	44011-4024
Country	:	US
Telephone Number	:	216-770-8830
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER / CEO
Name	:	LATANISHA WALKER WHITE
Credential	:	CHW, DOULA
Telephone Number	:	216-650-1914

Provider Enumeration Date	:	03/16/2026
Last Update Date	:	03/16/2026

Similar Medicare Providers

1588498596 — MRS. LATANISHA MONIQUE WALKER WHITE
Practice Location Address:

1601 CYPRESS E
AVON, OH
44011-4024

Practice Phone: 216-650-1914
Practice Fax:

1578380895 — THE DOULA PLUG LLC
Practice Location Address:

1601 CYPRESS E
AVON, OH
44011-4024

Practice Phone: 216-650-1914
Practice Fax:

1134941065 — ALICIA TAYLOR RN
Practice Location Address:

1611 CYPRESS E
AVON, OH
44011-4024

Practice Phone: 740-562-8353
Practice Fax:

1679378178 — SHONTE ATWOOD
Practice Location Address:

1627 CYPRESS E
AVON, OH
44011-4024

Practice Phone: 440-830-9622
Practice Fax:

1861358913 — AVIANNA CLINKSCALE
Practice Location Address:

1615 CYPRESS E
AVON, OH
44011-4024

Practice Phone: 440-452-8972
Practice Fax:

1922948280 — ADDISON RAE DIXON
Practice Location Address:

37800 FRENCH CREEK RD
AVON, OH
44011-1763

Practice Phone: 800-589-5204
Practice Fax:

Directions to “THE TEEN PARENT PLUG ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.