| Doctor Name: | MS. TONYA BLACK |
| NPI Number: | 1093860579 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPCC |
| License Number: | C7592 |
| Business Practice Address: | 540 E 105th St Ste 205h Cleveland, OH - 441084310 |
| Business Phone Number: | 2163523922 |
| Business Fax Number: | |
| Mailing Address: | 3311 Hyde Park Ave, CLEVELAND HEIGHTS |
| State: | OH |
| Postal Code: | 441182133 |
| Phone Number: | 2164081564 |
| Fax Number: | |
| NPI Enumeration Date: | 01/24/2007 |
| NPI Last Update Date: | 01/02/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | C7592 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |