Provider Demographics
NPI:1841315694
Name:BRANDT, ANN (LPCC-S)
Entity type:Individual
Prefix:MS
First Name:ANN
Middle Name:
Last Name:BRANDT
Suffix:
Gender:F
Credentials:LPCC-S
Other - Prefix:MS
Other - First Name:ANN
Other - Middle Name:
Other - Last Name:STROBLE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPCC-S
Mailing Address - Street 1:70 SLEEPY HOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:CANFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44406-1055
Mailing Address - Country:US
Mailing Address - Phone:330-533-6151
Mailing Address - Fax:
Practice Address - Street 1:11369 MARKET ST
Practice Address - Street 2:
Practice Address - City:NORTH LIMA
Practice Address - State:OH
Practice Address - Zip Code:44452-9782
Practice Address - Country:US
Practice Address - Phone:330-965-9999
Practice Address - Fax:234-759-3971
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA0002087101YP2500X
OHE0002743101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001423555OtherBLUE CROSS BLUE SHIELD
PA475578OtherVALUE BEHAVIORAL HEALTH