Provider Demographics
NPI:1922859792
Name:FOX-SCHAUFFNER, ENIS L
Entity Type:Individual
Prefix:
First Name:ENIS
Middle Name:L
Last Name:FOX-SCHAUFFNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1204 HARVATIS ST
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26508-8757
Mailing Address - Country:US
Mailing Address - Phone:304-282-8311
Mailing Address - Fax:
Practice Address - Street 1:1204 HARVATIS ST
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26508-8757
Practice Address - Country:US
Practice Address - Phone:304-282-8311
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-29
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health