Provider Demographics
NPI:1174647150
Name:SCHLECHT, STACIE C (MED, LPC)
Entity Type:Individual
Prefix:MS
First Name:STACIE
Middle Name:C
Last Name:SCHLECHT
Suffix:
Gender:F
Credentials:MED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2017 BLUEBONNET LN
Mailing Address - Street 2:APT 105
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78704-8825
Mailing Address - Country:US
Mailing Address - Phone:512-567-8740
Mailing Address - Fax:
Practice Address - Street 1:2111 DICKSON DR
Practice Address - Street 2:SUITE 14
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704-4796
Practice Address - Country:US
Practice Address - Phone:512-567-8740
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16096101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health