Healthcare Provider Details

I. General information

NPI: 1881288652
Provider Name (Legal Business Name): VINCENT EDWARD CARTER CADC, CRS, CCHW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2021
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

373 CLEVELAND ST
ROCHESTER PA
15074-1623
US

IV. Provider business mailing address

373 CLEVELAND ST
ROCHESTER PA
15074-1623
US

V. Phone/Fax

Practice location:
  • Phone: 724-775-7905
  • Fax: 724-775-7907
Mailing address:
  • Phone: 724-775-7905
  • Fax: 724-775-7907

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: