| Doctor Name: | MRS. TANYA JOI MIDDLETON |
| NPI Number: | 1023389442 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPCC LCDC III |
| License Number: | LCDC.121124-3 |
| Business Practice Address: | 1089 Hillrock Dr South Euclid, OH - 441213852 |
| Business Phone Number: | 2162552961 |
| Business Fax Number: | |
| Mailing Address: | 1089 Hillrock Dr, SOUTH EUCLID |
| State: | OH |
| Postal Code: | 441213852 |
| Phone Number: | 2162552961 |
| Fax Number: | |
| NPI Enumeration Date: | 01/17/2012 |
| NPI Last Update Date: | 07/20/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | LCDC.121124-3 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |