Provider Demographics
NPI:1518402809
Name:SCHELFHOUT, DONNA (LPC-IT, MA)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:
Last Name:SCHELFHOUT
Suffix:
Gender:F
Credentials:LPC-IT, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:314 NIAGARA AVE
Mailing Address - Street 2:
Mailing Address - City:SHEBOYGAN
Mailing Address - State:WI
Mailing Address - Zip Code:53081-4128
Mailing Address - Country:US
Mailing Address - Phone:920-652-8046
Mailing Address - Fax:
Practice Address - Street 1:314 NIAGARA AVE
Practice Address - Street 2:
Practice Address - City:SHEBOYGAN
Practice Address - State:WI
Practice Address - Zip Code:53081-4128
Practice Address - Country:US
Practice Address - Phone:920-652-8048
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-22
Last Update Date:2016-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional