MEDICARE: MS. TANYA LYNETTE RICHBURG CDCA

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	164162	OH

General Provider Information

NPI Number	:	1972090454
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. TANYA LYNETTE RICHBURG CDCA

Provider Business Mailing Address
First Line	:	16314 ELBERTA AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44128-3744
Country	:	US
Telephone Number	:	216-301-4807
Fax Number	:

Provider Business Practice Location Address
First Line	:	20611 EUCLID AVE
Second Line	:
City	:	EUCLID
State	:	OH
Zip	:	44117-1521
Country	:	US
Telephone Number	:	216-859-2727
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/19/2018
Last Update Date	:	06/19/2023

Similar Medicare Providers

1982559829 — MS. AMANDA LEA RIVERA
Practice Location Address:

20611 EUCLID AVE
EUCLID, OH
44117-1521

Practice Phone: 855-967-2436
Practice Fax:

1982928933 — ALLIANCE HEALTHCARE BRAEVIEW, INC.
Practice Location Address:

20611 EUCLID AVE
CLEVELAND, OH
44117-1521

Practice Phone: 216-486-9300
Practice Fax:

1922313915 — DONNA MARIE HARRISON PTA
Practice Location Address:

20611 EUCLID AVE
EUCLID, OH
44117-1521

Practice Phone: 216-481-4010
Practice Fax: 216-481-4101

1306131149 — CREEKSIDE THERAPY CLINIC, LLC
Practice Location Address:

20611 EUCLID AVE
EUCLID, OH
44117-1521

Practice Phone: 440-658-1040
Practice Fax: 866-629-9730

1063842045 — MARGARET C ABRAHAMSON LCSW/LISW
Practice Location Address:

20611 EUCLID AVE
EUCLID, OH
44117-1521

Practice Phone: 216-859-2710
Practice Fax:

1407382229 — ACT CARES LLC
Practice Location Address:

1521 CHARDON RD
EUCLID, OH
44117

Practice Phone: 216-650-0862
Practice Fax:

Directions to “ MS. TANYA LYNETTE RICHBURG CDCA” 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.