Provider Demographics
NPI:1003577123
Name:SCHMIDT, RHEANNA (LPC)
Entity Type:Individual
Prefix:
First Name:RHEANNA
Middle Name:
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7865 W BELL RD # 1034
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85382-3803
Mailing Address - Country:US
Mailing Address - Phone:602-492-5686
Mailing Address - Fax:
Practice Address - Street 1:9188 W DAVIS RD
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85282-3803
Practice Address - Country:US
Practice Address - Phone:602-492-5686
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-02
Last Update Date:2023-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-21333101YP2500X
AZLAC-18775101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor