Provider Demographics
NPI:1841700143
Name:SCHMIEG, STACEY
Entity type:Individual
Prefix:
First Name:STACEY
Middle Name:
Last Name:SCHMIEG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:337 CLEVELAND DR
Mailing Address - Street 2:STE 1
Mailing Address - City:CHEEKTOWAGA
Mailing Address - State:NY
Mailing Address - Zip Code:14215-1952
Mailing Address - Country:US
Mailing Address - Phone:716-202-0474
Mailing Address - Fax:716-768-3396
Practice Address - Street 1:337 CLEVELAND DR
Practice Address - Street 2:STE 1
Practice Address - City:CHEEKTOWAGA
Practice Address - State:NY
Practice Address - Zip Code:14215-1952
Practice Address - Country:US
Practice Address - Phone:716-202-0474
Practice Address - Fax:716-768-3396
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-02
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health