Healthcare Provider Details

I. General information

NPI: 1689303505
Provider Name (Legal Business Name): LAMONDA CARTER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/07/2022
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1811 SCHNEIDER ST NE
CANTON OH
44721-3349
US

IV. Provider business mailing address

1811 SCHNEIDER ST NE
CANTON OH
44721-3349
US

V. Phone/Fax

Practice location:
  • Phone: 330-470-4061
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS.2202445
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: