Provider Demographics
NPI:1598313223
Name:SCHMIDT, EMILY KAY CARBONE (MA, LPCC)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:KAY CARBONE
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:MA, LPCC
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:KAY WEATHERFORD
Other - Last Name:CARBONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:303 21ST ST
Mailing Address - Street 2:SUITE 232
Mailing Address - City:NEWPORT
Mailing Address - State:MN
Mailing Address - Zip Code:55055-1094
Mailing Address - Country:US
Mailing Address - Phone:651-560-0050
Mailing Address - Fax:651-925-0257
Practice Address - Street 1:303 21ST ST
Practice Address - Street 2:SUITE 232
Practice Address - City:NEWPORT
Practice Address - State:MN
Practice Address - Zip Code:55055-1094
Practice Address - Country:US
Practice Address - Phone:651-560-0050
Practice Address - Fax:651-925-0257
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-27
Last Update Date:2021-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CC02168101YP2500X
MNLPCC2168101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional