Provider Demographics
NPI:1760691307
Name:SCHILL, RICHARD A (LPC)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:A
Last Name:SCHILL
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:628 STONEWALL JACKSON DR
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77302-8400
Mailing Address - Country:US
Mailing Address - Phone:832-704-7524
Mailing Address - Fax:936-321-4021
Practice Address - Street 1:628 STONEWALL JACKSON DR
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77302-8400
Practice Address - Country:US
Practice Address - Phone:832-704-7524
Practice Address - Fax:936-321-4021
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15087101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional