Provider Demographics
NPI:1700097169
Name:SCHMANKE, ELIZABETH S (MS, ATR-BC, LCAC)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:S
Last Name:SCHMANKE
Suffix:
Gender:F
Credentials:MS, ATR-BC, LCAC
Other - Prefix:
Other - First Name:LIBBY
Other - Middle Name:
Other - Last Name:SCHMANKE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6621 MARION RD
Mailing Address - Street 2:
Mailing Address - City:OSKALOOSA
Mailing Address - State:KS
Mailing Address - Zip Code:66066-5128
Mailing Address - Country:US
Mailing Address - Phone:785-840-5280
Mailing Address - Fax:
Practice Address - Street 1:4901 LEGENDS DR STE B
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66049-5800
Practice Address - Country:US
Practice Address - Phone:785-840-5280
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-25
Last Update Date:2013-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
221700000X
KSLCAC 123101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist