MEDICARE: AMBER KEATON CT

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	101Y00000X	Counselor	C.2607781	OH
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1407666746
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMBER KEATON CT

Provider Business Mailing Address
First Line	:	1384 N HOWARD ST
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44310-1032
Country	:	US
Telephone Number	:	330-310-0406
Fax Number	:

Provider Business Practice Location Address
First Line	:	421 GRAHAM RD STE B
Second Line	:
City	:	CUYAHOGA FALLS
State	:	OH
Zip	:	44221-1344
Country	:	US
Telephone Number	:	330-310-0406
Fax Number	:

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

Provider Enumeration Date	:	01/09/2025
Last Update Date	:	04/08/2026

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Directions to “ AMBER KEATON CT” Practice Location

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