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NPI Code Detail

MEDICARE: CARRIE WEIMER

MEDICARE: CARRIE WEIMER
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1629933148
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARRIE WEIMER
Provider Business Mailing Address
First Line : 1251 NILLES RD STE 5
Second Line :
City : FAIRFIELD
State : OH
Zip : 45014-7205
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1251 NILLES RD STE 5
Second Line :
City : FAIRFIELD
State : OH
Zip : 45014-7205
Country : US
Telephone Number : 513-647-2057
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/17/2025
Last Update Date : 12/17/2025

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Directions to “ CARRIE WEIMER ” Practice Location

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