Provider Demographics
NPI:1558729020
Name:SCHEIDT, LISA (LMHC)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:
Last Name:SCHEIDT
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1011 CLEARPOINTE WAY
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33813-5618
Mailing Address - Country:US
Mailing Address - Phone:863-398-7550
Mailing Address - Fax:
Practice Address - Street 1:1011 CLEARPOINTE WAY
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33813-5618
Practice Address - Country:US
Practice Address - Phone:863-398-7550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-29
Last Update Date:2024-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH16344101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health