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

Tara Daree Foxworth, CDCA

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1720439425

Tara Daree Foxworth, CDCA is an Addiction (Substance Use Disorder) Counselor in Cleveland, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2016

Practice location Address checks out

1227 Ansel Rd
Cleveland, OH 44108-3323
Phone: (216) 421-0662
Fax: (216) 421-0911
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 160112 (OH)

Record details

NPI number1720439425
Entity typeIndividual (Type 1)
GenderFemale
Credentials CDCA
Sole proprietorYes
NPI enumeratedJune 24, 2016
Last updated in NPPESJune 24, 2016
Mailing address1227 Ansel Rd, Cleveland, OH 44108-3323

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