Provider Demographics
NPI:1942934427
Name:SCHMIDT, SHANA LYNN (LPC)
Entity Type:Individual
Prefix:
First Name:SHANA
Middle Name:LYNN
Last Name:SCHMIDT
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 1:3208 ROYER WEST DR
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:KS
Mailing Address - Zip Code:67114-9638
Mailing Address - Country:US
Mailing Address - Phone:316-772-7213
Mailing Address - Fax:
Practice Address - Street 1:1103 N MAIN ST
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:KS
Practice Address - Zip Code:67114-1837
Practice Address - Country:US
Practice Address - Phone:316-803-1011
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-12
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional