Healthcare Provider Details

I. General information

NPI: 1275496382
Provider Name (Legal Business Name): ANNIKA CARTER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/05/2025
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4127 BROWNSVILLE RD STE 205
BRENTWOOD PA
15227-3348
US

IV. Provider business mailing address

4127 BROWNSVILLE RD STE 205
BRENTWOOD PA
15227-3348
US

V. Phone/Fax

Practice location:
  • Phone: 412-238-7663
  • Fax:
Mailing address:
  • Phone: 412-238-7663
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberAPC001003
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: