Healthcare Provider Details
I. General information
NPI: 1841315694
Provider Name (Legal Business Name): ANN BRANDT LPCC-S
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/20/2007
Last Update Date: 02/19/2025
Certification Date: 02/19/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
11369 MARKET ST
NORTH LIMA OH
44452-9782
US
IV. Provider business mailing address
70 SLEEPY HOLLOW DR
CANFIELD OH
44406-1055
US
V. Phone/Fax
- Phone: 330-965-9999
- Fax: 234-759-3971
- Phone: 330-533-6151
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | 0002087 |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | E0002743 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: