Provider Demographics
NPI:1235548074
Name:PETER SCHUMAKER, LPC
Entity Type:Organization
Organization Name:PETER SCHUMAKER, LPC
Other - Org Name:FIDELITY COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:THERAPIST AND OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHUMAKER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:314-246-0560
Mailing Address - Street 1:3134 SUTTON BLVD.
Mailing Address - Street 2:
Mailing Address - City:MAPLEWOOD
Mailing Address - State:MO
Mailing Address - Zip Code:63143
Mailing Address - Country:US
Mailing Address - Phone:314-246-0560
Mailing Address - Fax:888-717-4730
Practice Address - Street 1:3134 SUTTON BLVD.
Practice Address - Street 2:
Practice Address - City:MAPLEWOOD
Practice Address - State:MO
Practice Address - Zip Code:63143
Practice Address - Country:US
Practice Address - Phone:314-246-0560
Practice Address - Fax:888-717-4730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-06
Last Update Date:2014-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2008034969101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty