Provider Demographics
NPI:1285127662
Name:SCHRADE, AMBER N (PHD, LPCC-S, IMFT-S)
Entity type:Individual
Prefix:DR
First Name:AMBER
Middle Name:N
Last Name:SCHRADE
Suffix:
Gender:F
Credentials:PHD, LPCC-S, IMFT-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2101 FRONT ST STE 215
Mailing Address - Street 2:
Mailing Address - City:CUYAHOGA FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44221-3251
Mailing Address - Country:US
Mailing Address - Phone:330-238-7286
Mailing Address - Fax:
Practice Address - Street 1:2421 13TH ST NW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44708-3116
Practice Address - Country:US
Practice Address - Phone:330-452-6000
Practice Address - Fax:330-430-1288
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-11
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.1500613101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHC.1500613OtherLICENSE