Provider Demographics
NPI:1295374833
Name:AMY SCHANTZ
Entity Type:Organization
Organization Name:AMY SCHANTZ
Other - Org Name:AMY SCHANTZ
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MENTAL HEALTH THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:K
Authorized Official - Last Name:SCHANTZ
Authorized Official - Suffix:
Authorized Official - Credentials:PLMHP
Authorized Official - Phone:402-309-0977
Mailing Address - Street 1:221 E GRANT ST
Mailing Address - Street 2:
Mailing Address - City:WEST POINT
Mailing Address - State:NE
Mailing Address - Zip Code:68788-1816
Mailing Address - Country:US
Mailing Address - Phone:402-309-0977
Mailing Address - Fax:888-841-4045
Practice Address - Street 1:221 E GRANT ST
Practice Address - Street 2:
Practice Address - City:WEST POINT
Practice Address - State:NE
Practice Address - Zip Code:68788-1816
Practice Address - Country:US
Practice Address - Phone:402-309-0977
Practice Address - Fax:888-841-4045
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-30
Last Update Date:2020-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)