Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Laneisha Tiant Gardner, CDCA

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1013572676

Laneisha Tiant Gardner, CDCA is an Addiction (Substance Use Disorder) Counselor in Moraine, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2019

Practice location Address checks out

200 Daruma Pkwy
Moraine, OH 45439-7909
Phone: (937) 262-3500
Fax: (937) 262-5902
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CDCA.170323 (OH)

Record details

NPI number1013572676
Entity typeIndividual (Type 1)
GenderFemale
Credentials CDCA
Sole proprietorYes
NPI enumeratedMay 8, 2019
Last updated in NPPESMay 8, 2019
Mailing address73 Crown Ave, Dayton, OH 45417-9017

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