Provider Demographics
NPI:1811585581
Name:SCHUMACHER, LISA ELLIOTT (LPC)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:ELLIOTT
Last Name:SCHUMACHER
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:PO BOX 6101
Mailing Address - Street 2:
Mailing Address - City:FORSYTH
Mailing Address - State:GA
Mailing Address - Zip Code:31029-6101
Mailing Address - Country:US
Mailing Address - Phone:478-744-1791
Mailing Address - Fax:
Practice Address - Street 1:5271 GA HIGHWAY 42 S
Practice Address - Street 2:
Practice Address - City:FORSYTH
Practice Address - State:GA
Practice Address - Zip Code:31029-7219
Practice Address - Country:US
Practice Address - Phone:478-744-1791
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-07
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X
GALPC008571101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional