MEDICARE: TOMIKA M WEST PCC'S

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	C.0600638	OH

General Provider Information

NPI Number	:	1518230994
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TOMIKA M WEST PCC'S

Provider Business Mailing Address
First Line	:	2725 LINCOLN ST E
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44707-2769
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	408 9TH ST SW
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44707-4714
Country	:	US
Telephone Number	:	330-454-2000
Fax Number	:

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

Provider Enumeration Date	:	02/16/2012
Last Update Date	:	05/19/2026

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