MEDICARE: ERIN CRITES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	A22289	NC

General Provider Information

NPI Number	:	1073476719
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN CRITES

Provider Business Mailing Address
First Line	:	317 AG DR
Second Line	:
City	:	YOUNGSVILLE
State	:	NC
Zip	:	27596-9063
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6512 SIX FORKS RD BLDG 5
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27615-6561
Country	:	US
Telephone Number	:	252-548-6865
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/09/2025
Last Update Date	:	12/09/2025

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