Provider Demographics
NPI:1629552005
Name:SCHMIDT, SYLVIA KAY (LCPC)
Entity Type:Individual
Prefix:
First Name:SYLVIA
Middle Name:KAY
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16911 S WOODBERRY RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT HOPE
Mailing Address - State:KS
Mailing Address - Zip Code:67108-9659
Mailing Address - Country:US
Mailing Address - Phone:316-304-8942
Mailing Address - Fax:
Practice Address - Street 1:16911 S WOODBERRY RD
Practice Address - Street 2:
Practice Address - City:MOUNT HOPE
Practice Address - State:KS
Practice Address - Zip Code:67108-9659
Practice Address - Country:US
Practice Address - Phone:316-304-8942
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-20
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS03463101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional