Provider Demographics
NPI:1598358525
Name:SCHLINSOG, JIMMIE A (PHD, LPC-MHSP)
Entity Type:Individual
Prefix:
First Name:JIMMIE
Middle Name:A
Last Name:SCHLINSOG
Suffix:
Gender:M
Credentials:PHD, LPC-MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6631 DAWNHILL RD
Mailing Address - Street 2:
Mailing Address - City:BARTLETT
Mailing Address - State:TN
Mailing Address - Zip Code:38135-1572
Mailing Address - Country:US
Mailing Address - Phone:920-267-0341
Mailing Address - Fax:
Practice Address - Street 1:2932 ALTRURIA RD
Practice Address - Street 2:
Practice Address - City:BARTLETT
Practice Address - State:TN
Practice Address - Zip Code:38134-3862
Practice Address - Country:US
Practice Address - Phone:901-451-9809
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-20
Last Update Date:2021-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4863101YA0400X, 101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional