Provider Demographics
NPI:1568160505
Name:ZELL, AMY T (CT, CFPS)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:T
Last Name:ZELL
Suffix:
Gender:
Credentials:CT, CFPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:332 COLLAR PRICE RD SE
Mailing Address - Street 2:
Mailing Address - City:BROOKFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44403-9708
Mailing Address - Country:US
Mailing Address - Phone:330-506-1232
Mailing Address - Fax:
Practice Address - Street 1:711 BELMONT AVE
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44502-1039
Practice Address - Country:US
Practice Address - Phone:330-506-1232
Practice Address - Fax:330-743-5748
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-20
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHFPS.000012175T00000X
171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No175T00000XOther Service ProvidersPeer Specialist