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

Tanesha Ivory

Individual provider Peer Specialist · NPI 1396673455

Tanesha Ivory is a Peer Specialist in Cleveland, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2026

Practice location Address checks out

4887 W 13th St
Cleveland, OH 44109-5655
Phone: (216) 501-2310
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence PRS.007756 (OH)

Record details

NPI number1396673455
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 11, 2026
Last updated in NPPESMay 11, 2026
Certification dateMay 11, 2026
Mailing address4887 W 13th St, Cleveland, OH 44109-5655

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