Provider Demographics
NPI:1174022479
Name:SCHMIDT, ATTICA YVETTE (CMHC)
Entity Type:Individual
Prefix:MRS
First Name:ATTICA
Middle Name:YVETTE
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:CMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4168 S SUNRISE DR
Mailing Address - Street 2:
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:UT
Mailing Address - Zip Code:84045-3256
Mailing Address - Country:US
Mailing Address - Phone:801-419-5525
Mailing Address - Fax:
Practice Address - Street 1:4168 S SUNRISE DR
Practice Address - Street 2:
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:UT
Practice Address - Zip Code:84045-3256
Practice Address - Country:US
Practice Address - Phone:801-419-5525
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-02
Last Update Date:2019-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6321618-6004101YM0800X, 225XM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XM0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistMental Health
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health