Provider Demographics
NPI:1649673450
Name:SCHMIDT, DONNA KARLEEN (LPC)
Entity type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:KARLEEN
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:DONNA
Other - Middle Name:KARLEEN
Other - Last Name:ROHLEDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1819 S DOBSON RD
Mailing Address - Street 2:SUITE 114
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85202
Mailing Address - Country:US
Mailing Address - Phone:480-787-1955
Mailing Address - Fax:
Practice Address - Street 1:1819 S DOBSON RD STE 114
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85202-5656
Practice Address - Country:US
Practice Address - Phone:480-787-1955
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-14138101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ961269Medicaid