Provider Demographics
NPI:1639513567
Name:SCHMEHL, TERI LEE (LPC)
Entity Type:Individual
Prefix:
First Name:TERI
Middle Name:LEE
Last Name:SCHMEHL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:416 6TH ST
Mailing Address - Street 2:
Mailing Address - City:WALLACE
Mailing Address - State:ID
Mailing Address - Zip Code:83873-2219
Mailing Address - Country:US
Mailing Address - Phone:208-556-0960
Mailing Address - Fax:208-752-1048
Practice Address - Street 1:416 6TH ST
Practice Address - Street 2:
Practice Address - City:WALLACE
Practice Address - State:ID
Practice Address - Zip Code:83873-2219
Practice Address - Country:US
Practice Address - Phone:208-556-0960
Practice Address - Fax:208-752-1048
Is Sole Proprietor?:No
Enumeration Date:2013-04-22
Last Update Date:2013-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLPC4761101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional