Provider Demographics
NPI:1619458023
Name:SCHANTZ, AMY K (PLMHP)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:K
Last Name:SCHANTZ
Suffix:
Gender:F
Credentials:PLMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 E GRANT ST
Mailing Address - Street 2:
Mailing Address - City:WEST POINT
Mailing Address - State:NE
Mailing Address - Zip Code:68788-1816
Mailing Address - Country:US
Mailing Address - Phone:402-309-0977
Mailing Address - Fax:888-841-4045
Practice Address - Street 1:221 E GRANT STREET
Practice Address - Street 2:
Practice Address - City:WEST POINT
Practice Address - State:NEBRASKA
Practice Address - Zip Code:68788
Practice Address - Country:UM
Practice Address - Phone:402-309-0977
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-23
Last Update Date:2020-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE11616101Y00000X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor