Healthcare Provider Details

I. General information

NPI: 1346982089
Provider Name (Legal Business Name): AMANDA R. GARABRANDT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/12/2022
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2283 ASHLAND AVE
TOLEDO OH
43620-1205
US

IV. Provider business mailing address

1519 RESWICK DR
OREGON OH
43616-3621
US

V. Phone/Fax

Practice location:
  • Phone: 419-244-2175
  • Fax:
Mailing address:
  • Phone: 419-320-3283
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCDCA.178513
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: