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

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