MEDICARE: ERIN E WEBER CARRICK PC

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	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1154776714
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN E WEBER CARRICK PC

Provider Business Mailing Address
First Line	:	624 MARKET AVE N
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44702-1017
Country	:	US
Telephone Number	:	330-493-4553
Fax Number	:	330-493-3761

Provider Business Practice Location Address
First Line	:	9767 LAFONT CIR NE
Second Line	:
City	:	BOLIVAR
State	:	OH
Zip	:	44612-8856
Country	:	US
Telephone Number	:	330-324-4255
Fax Number	:

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

Provider Enumeration Date	:	05/02/2016
Last Update Date	:	01/26/2026

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