Provider Demographics
NPI:1790330405
Name:SCHWOB, LAURA ROSE (NCC, LPC, MED)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:ROSE
Last Name:SCHWOB
Suffix:
Gender:F
Credentials:NCC, LPC, MED
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:ROSE
Other - Last Name:SCHWOB
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:ASSOCIATES IN COUNSELING AND WELLNESS
Mailing Address - Street 2:2001 WATERDAM PLAZA DRIVE,SUITE 206
Mailing Address - City:MCMURRAY
Mailing Address - State:PA
Mailing Address - Zip Code:15317
Mailing Address - Country:US
Mailing Address - Phone:412-559-9152
Mailing Address - Fax:724-969-4170
Practice Address - Street 1:2001 WATERDAM PLAZA DR STE 206
Practice Address - Street 2:
Practice Address - City:MC MURRAY
Practice Address - State:PA
Practice Address - Zip Code:15317-5416
Practice Address - Country:US
Practice Address - Phone:412-559-9152
Practice Address - Fax:724-969-4170
Is Sole Proprietor?:No
Enumeration Date:2019-08-08
Last Update Date:2020-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC011638101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional