Provider Demographics
NPI:1710765441
Name:SCHMIDT, OLIVIA DEE DEE (MS)
Entity Type:Individual
Prefix:
First Name:OLIVIA
Middle Name:DEE DEE
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1945 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68502-2557
Mailing Address - Country:US
Mailing Address - Phone:402-580-0949
Mailing Address - Fax:
Practice Address - Street 1:5700 THOMPSON CREEK BLVD STE 3
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-6579
Practice Address - Country:US
Practice Address - Phone:402-580-0949
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-14
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE13597106H00000X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist