Provider Demographics
NPI:1619558186
Name:SCHRAGE, ABBEY JO (LMHC)
Entity Type:Individual
Prefix:
First Name:ABBEY
Middle Name:JO
Last Name:SCHRAGE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1051 SHELBY DR
Mailing Address - Street 2:
Mailing Address - City:ADEL
Mailing Address - State:IA
Mailing Address - Zip Code:50003-2206
Mailing Address - Country:US
Mailing Address - Phone:402-917-5111
Mailing Address - Fax:
Practice Address - Street 1:1051 SHELBY DR
Practice Address - Street 2:
Practice Address - City:ADEL
Practice Address - State:IA
Practice Address - Zip Code:50003-2206
Practice Address - Country:US
Practice Address - Phone:402-917-5111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-16
Last Update Date:2021-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA094940101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health