Provider Demographics
NPI:1477721520
Name:SCHAEFFER, TONYA KAY (PCC)
Entity type:Individual
Prefix:MRS
First Name:TONYA
Middle Name:KAY
Last Name:SCHAEFFER
Suffix:
Gender:F
Credentials:PCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6775 LOVELAND MIAMIVILLE RD
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:45140-6942
Mailing Address - Country:US
Mailing Address - Phone:513-313-7969
Mailing Address - Fax:
Practice Address - Street 1:7577 CENTRAL PARKE BLVD
Practice Address - Street 2:SUITE 219
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-6809
Practice Address - Country:US
Practice Address - Phone:513-770-3231
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-12
Last Update Date:2008-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0007970101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional