Provider Demographics
NPI:1942914130
Name:SCHLACHTER, AUSTIN RICHARD (LPC-IT , SAC-IT)
Entity Type:Individual
Prefix:
First Name:AUSTIN
Middle Name:RICHARD
Last Name:SCHLACHTER
Suffix:
Gender:M
Credentials:LPC-IT , SAC-IT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:343 COTTONVILLE LN
Mailing Address - Street 2:
Mailing Address - City:COLOMA
Mailing Address - State:WI
Mailing Address - Zip Code:54930-9417
Mailing Address - Country:US
Mailing Address - Phone:715-572-1232
Mailing Address - Fax:
Practice Address - Street 1:108 E NORTH ST
Practice Address - Street 2:
Practice Address - City:FRIENDSHIP
Practice Address - State:WI
Practice Address - Zip Code:53934-9422
Practice Address - Country:US
Practice Address - Phone:608-339-4300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-11
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI7203-226101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional