Healthcare Provider Details

I. General information

NPI: 1801725650
Provider Name (Legal Business Name): MATTHEW CRITES
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

353 AMERICAN WAY
WEIRTON WV
26062-4083
US

IV. Provider business mailing address

5521 STATE ROUTE 152
RICHMOND OH
43944-7941
US

V. Phone/Fax

Practice location:
  • Phone: 330-651-1299
  • Fax:
Mailing address:
  • Phone: 304-217-3010
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: