Provider Demographics
NPI:1760871107
Name:SCHUMACHER, STEFANIE (LMHC - PROVISIONAL)
Entity Type:Individual
Prefix:MS
First Name:STEFANIE
Middle Name:
Last Name:SCHUMACHER
Suffix:
Gender:F
Credentials:LMHC - PROVISIONAL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:POST OFFICE BOX 2326
Mailing Address - Street 2:
Mailing Address - City:TRES PIEDRAS
Mailing Address - State:NM
Mailing Address - Zip Code:87577
Mailing Address - Country:US
Mailing Address - Phone:917-826-2010
Mailing Address - Fax:
Practice Address - Street 1:1337 GUSDORF ROAD
Practice Address - Street 2:SUITE E
Practice Address - City:TAOS
Practice Address - State:NM
Practice Address - Zip Code:87571
Practice Address - Country:US
Practice Address - Phone:575-758-4297
Practice Address - Fax:575-751-7237
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-22
Last Update Date:2015-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health