Provider Demographics
NPI:1912426164
Name:SCHELEGLE, DANA (LMFTA)
Entity Type:Individual
Prefix:MRS
First Name:DANA
Middle Name:
Last Name:SCHELEGLE
Suffix:
Gender:F
Credentials:LMFTA
Other - Prefix:MISS
Other - First Name:DANA
Other - Middle Name:
Other - Last Name:WEES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 365
Mailing Address - Street 2:
Mailing Address - City:BAYBORO
Mailing Address - State:NC
Mailing Address - Zip Code:28515-0365
Mailing Address - Country:US
Mailing Address - Phone:252-745-4510
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 365
Practice Address - Street 2:
Practice Address - City:BAYBORO
Practice Address - State:NC
Practice Address - Zip Code:28515-0365
Practice Address - Country:US
Practice Address - Phone:252-745-4510
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-19
Last Update Date:2017-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11093A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist