Healthcare Provider Details

I. General information

NPI: 1841315694
Provider Name (Legal Business Name): ANN BRANDT LPCC-S
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ANN STROBLE LPCC-S

II. Dates (important events)

Enumeration Date: 03/20/2007
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5611 HUDSON DR STE 400
HUDSON OH
44236-4452
US

IV. Provider business mailing address

4522 FULTON DR NW
CANTON OH
44718-2332
US

V. Phone/Fax

Practice location:
  • Phone: 330-915-2907
  • Fax: 330-915-2958
Mailing address:
  • Phone: 330-915-2907
  • Fax: 330-915-2958

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberE.0002743-SUPV
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE0002743
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0002087
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: