Provider Demographics
NPI:1942890769
Name:SCHOMMER, ERICA (LMHC)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:
Last Name:SCHOMMER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4122 MADISON ST
Mailing Address - Street 2:NUMBER 611
Mailing Address - City:ELFERS
Mailing Address - State:FL
Mailing Address - Zip Code:34680
Mailing Address - Country:US
Mailing Address - Phone:727-300-2194
Mailing Address - Fax:
Practice Address - Street 1:4122 MADISON ST NUMBER 611
Practice Address - Street 2:
Practice Address - City:ELFERS
Practice Address - State:FL
Practice Address - Zip Code:34680
Practice Address - Country:US
Practice Address - Phone:727-300-2194
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-25
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH17931101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health