Provider Demographics
NPI:1184344814
Name:SCHRAG, MOLLY LOUISE (MFT)
Entity type:Individual
Prefix:
First Name:MOLLY
Middle Name:LOUISE
Last Name:SCHRAG
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1103 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:KS
Mailing Address - Zip Code:67114-1837
Mailing Address - Country:US
Mailing Address - Phone:316-992-9938
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:316-992-9938
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-01
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS03415-T106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist