Provider Demographics
NPI:1184168593
Name:MARKOWSKI-SCHMIDT, SHAUNA RENEE (MA, NCC, LPC)
Entity type:Individual
Prefix:MRS
First Name:SHAUNA
Middle Name:RENEE
Last Name:MARKOWSKI-SCHMIDT
Suffix:
Gender:F
Credentials:MA, NCC, LPC
Other - Prefix:
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Mailing Address - Street 1:19115 FM 2252
Mailing Address - Street 2:SUITE 15
Mailing Address - City:GARDEN RIDGE
Mailing Address - State:TX
Mailing Address - Zip Code:78266
Mailing Address - Country:US
Mailing Address - Phone:210-632-8151
Mailing Address - Fax:210-281-5108
Practice Address - Street 1:19115 FM 2252
Practice Address - Street 2:SUITE 15
Practice Address - City:GARDEN RIDGE
Practice Address - State:TX
Practice Address - Zip Code:78266
Practice Address - Country:US
Practice Address - Phone:210-632-8151
Practice Address - Fax:210-281-5108
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-05
Last Update Date:2019-04-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX71102101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty