Provider Demographics
NPI:1922696723
Name:SCHATZLER M ED LPC, TANYA LYNN (M ED LPC)
Entity Type:Individual
Prefix:
First Name:TANYA
Middle Name:LYNN
Last Name:SCHATZLER M ED LPC
Suffix:
Gender:F
Credentials:M ED 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 68
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:MO
Mailing Address - Zip Code:63084-0068
Mailing Address - Country:US
Mailing Address - Phone:636-234-5462
Mailing Address - Fax:
Practice Address - Street 1:202 E LOCUST ST
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:MO
Practice Address - Zip Code:63084-1832
Practice Address - Country:US
Practice Address - Phone:636-234-5462
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-06
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2015043575101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO2015043575OtherLICENSED PROFESSIONAL COUNSELOR