MEDICARE: AMANDA KIMBERLY ARMS

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	LCDCII.162075	OH

General Provider Information

NPI Number	:	1881581403
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA KIMBERLY ARMS

Provider Business Mailing Address
First Line	:	207 TULIP DR
Second Line	:
City	:	MARYSVILLE
State	:	OH
Zip	:	43040-3125
Country	:	US
Telephone Number	:	937-819-8320
Fax Number	:

Provider Business Practice Location Address
First Line	:	3141 MEDINA AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43224-4222
Country	:	US
Telephone Number	:	937-819-8320
Fax Number	:

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

Provider Enumeration Date	:	06/18/2025
Last Update Date	:	06/18/2025

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Directions to “ AMANDA KIMBERLY ARMS ” Practice Location

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