Provider Demographics
NPI:1326408790
Name:SCHMIDT, TRICIA (LCMHCA)
Entity Type:Individual
Prefix:
First Name:TRICIA
Middle Name:
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9504 STONEY GLEN DR APT P
Mailing Address - Street 2:
Mailing Address - City:MINT HILL
Mailing Address - State:NC
Mailing Address - Zip Code:28227-0463
Mailing Address - Country:US
Mailing Address - Phone:303-731-7649
Mailing Address - Fax:
Practice Address - Street 1:112 N CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:LANDIS
Practice Address - State:NC
Practice Address - Zip Code:28088-1445
Practice Address - Country:US
Practice Address - Phone:704-741-0456
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-29
Last Update Date:2020-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
NCA15591101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health