Provider Demographics
NPI:1023040086
Name:SCHMIDT, MARY BEVIS (BSW, MS)
Entity Type:Individual
Prefix:MRS
First Name:MARY
Middle Name:BEVIS
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:BSW, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1112 W 12TH ST
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32401-2009
Mailing Address - Country:US
Mailing Address - Phone:850-557-3332
Mailing Address - Fax:850-873-7644
Practice Address - Street 1:1112 W 12TH ST
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32401-2009
Practice Address - Country:US
Practice Address - Phone:850-557-3332
Practice Address - Fax:850-873-7644
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health