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

Tiara Henderson

Individual provider Contractor · NPI 1407487598

Tiara Henderson is a Contractor in Lakewood, Ohio. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

2040 Elbur Ave
Lakewood, OH 44107-6114
Phone: (216) 972-3877
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4342 Lee Rd, Cleveland, OH 44128-2404 — (216) 972-3877

Specialties & licences

Contractor (primary) Taxonomy 171W00000X

Record details

NPI number1407487598
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 28, 2020
Last updated in NPPESJanuary 28, 2020
Certification dateJanuary 28, 2020
Mailing address2040 Elbur Ave, Lakewood, OH 44107-6114

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