Provider Demographics
NPI:1598241259
Name:SCHAALE, TAMMY LYNN (LPC, LCDC)
Entity Type:Individual
Prefix:
First Name:TAMMY
Middle Name:LYNN
Last Name:SCHAALE
Suffix:
Gender:F
Credentials:LPC, LCDC
Other - Prefix:MRS
Other - First Name:TAMMY
Other - Middle Name:LYNN
Other - Last Name:SCHAALE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:HENSLEY
Mailing Address - Street 1:175 BLACK JACK TRL
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:TX
Mailing Address - Zip Code:78069-4622
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:175 BLACKJACK TRAIL
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:TX
Practice Address - Zip Code:78069-7806
Practice Address - Country:US
Practice Address - Phone:210-563-1024
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-16
Last Update Date:2018-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX75680101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional