Provider Demographics
NPI:1477938165
Name:SCHMITT, MELISA LEE (LPC; LCPC)
Entity Type:Individual
Prefix:
First Name:MELISA
Middle Name:LEE
Last Name:SCHMITT
Suffix:
Gender:F
Credentials:LPC; LCPC
Other - Prefix:
Other - First Name:MELISA
Other - Middle Name:LEE
Other - Last Name:ROBERTS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC; LCPC
Mailing Address - Street 1:19892 21ST RD
Mailing Address - Street 2:
Mailing Address - City:WINFIELD
Mailing Address - State:KS
Mailing Address - Zip Code:67156-6974
Mailing Address - Country:US
Mailing Address - Phone:405-413-2717
Mailing Address - Fax:
Practice Address - Street 1:19892 21ST RD
Practice Address - Street 2:
Practice Address - City:WINFIELD
Practice Address - State:KS
Practice Address - Zip Code:67156-6974
Practice Address - Country:US
Practice Address - Phone:405-413-2717
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-23
Last Update Date:2020-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK6458101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health