Provider Demographics
NPI:1124902812
Name:PINNER GROCE, TEKISHA
Entity type:Individual
Prefix:
First Name:TEKISHA
Middle Name:
Last Name:PINNER GROCE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30505 BRAINBRIDGE RD
Mailing Address - Street 2:SUITE 165
Mailing Address - City:SOLON
Mailing Address - State:OH
Mailing Address - Zip Code:44139-4413
Mailing Address - Country:US
Mailing Address - Phone:216-713-5457
Mailing Address - Fax:
Practice Address - Street 1:30505 BRAINBRIDGE RD
Practice Address - Street 2:SUITE 165
Practice Address - City:SOLON
Practice Address - State:OH
Practice Address - Zip Code:44139-4413
Practice Address - Country:US
Practice Address - Phone:216-713-5457
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-05
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator