MEDICARE: AMANDA K. BRACE, LLC

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	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1528792348
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMANDA K. BRACE, LLC

Provider Business Mailing Address
First Line	:	2334 LAKE AVE
Second Line	:
City	:	ASHTABULA
State	:	OH
Zip	:	44004-3440
Country	:	US
Telephone Number	:	440-361-0127
Fax Number	:	440-964-0480

Provider Business Practice Location Address
First Line	:	2334 LAKE AVE
Second Line	:
City	:	ASHTABULA
State	:	OH
Zip	:	44004-3440
Country	:	US
Telephone Number	:	440-961-0127
Fax Number	:	440-964-0480

Authorized Official
Title or Position	:	OWNER
Name	:	AMANDA KATHLEEN BRACE
Credential	:	LPCC-S
Telephone Number	:	440-361-0127

Provider Enumeration Date	:	07/16/2022
Last Update Date	:	08/22/2022

Similar Medicare Providers

1649278417 — JOHN M BRACE D.O.
Practice Location Address:

2334 LAKE AVE
ASHTABULA, OH
44004-3440

Practice Phone: 440-992-0846
Practice Fax: 440-992-7879

1043525041 — AMANDA KATHLEEN BRACE LPCC-S, M.ED
Practice Location Address:

2334 LAKE AVE
ASHTABULA, OH
44004-3440

Practice Phone: 440-361-0127
Practice Fax:

1306154414 — JOHN M BRACE DO & ASSOCIATES INC
Practice Location Address:

2334 LAKE AVE
ASHTABULA, OH
44004-3440

Practice Phone: 440-992-0846
Practice Fax: 440-992-7879

1407100621 — BOARDMAN MEDICAL SUPPLY CO
Practice Location Address:

2320 LAKE AVE
ASHTABULA, OH
44004-3440

Practice Phone: 440-536-5593
Practice Fax: 440-536-5597

1174589725 — ANESTHESIA CONSULTANTS, INC
Practice Location Address:

2420 LAKE AVE
ASHTABULA, OH
44004-4954

Practice Phone: 440-997-2262
Practice Fax:

1720921703 — SIDNEY ELIZABETH POWELL
Practice Location Address:

2420 LAKE AVE
ASHTABULA, OH
44004-4954

Practice Phone: 440-997-6969
Practice Fax:

Directions to “AMANDA K. BRACE, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.