Provider Demographics
NPI:1194867721
Name:SCHMIDT, LAURA S (MA, LMFT)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:S
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1905 S HATCH ST
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99203-3440
Mailing Address - Country:US
Mailing Address - Phone:509-939-0622
Mailing Address - Fax:
Practice Address - Street 1:910 N WASHINGTON ST
Practice Address - Street 2:SUITE 211
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-2202
Practice Address - Country:US
Practice Address - Phone:509-939-0622
Practice Address - Fax:509-325-4988
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2014-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF00002069101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health