Provider Demographics
NPI:1497465793
Name:SCHLAGHECK & ASSOCIATES LLC
Entity Type:Organization
Organization Name:SCHLAGHECK & ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHLAGHECK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-567-2860
Mailing Address - Street 1:7120 LUCY MAYE WAY
Mailing Address - Street 2:
Mailing Address - City:LIBERTY TWP
Mailing Address - State:OH
Mailing Address - Zip Code:45011-5461
Mailing Address - Country:US
Mailing Address - Phone:937-567-2860
Mailing Address - Fax:
Practice Address - Street 1:7120 LUCY MAYE WAY
Practice Address - Street 2:
Practice Address - City:LIBERTY TWP
Practice Address - State:OH
Practice Address - Zip Code:45011-5461
Practice Address - Country:US
Practice Address - Phone:937-567-2860
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-29
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty