Provider Demographics
NPI:1952958852
Name:LISA SCHMIDT COUNSELING LLC
Entity Type:Organization
Organization Name:LISA SCHMIDT COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:RICHARDSON
Authorized Official - Last Name:SCHMIDT
Authorized Official - Suffix:
Authorized Official - Credentials:LAC, CN
Authorized Official - Phone:480-675-4568
Mailing Address - Street 1:8040 E MORGAN TRL STE 7
Mailing Address - Street 2:ATTN: LISA SCHMIDT
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-1233
Mailing Address - Country:US
Mailing Address - Phone:480-675-4568
Mailing Address - Fax:480-907-1963
Practice Address - Street 1:8040 E MORGAN TRL STE 7
Practice Address - Street 2:ATTN: LISA SCHMIDT
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-1233
Practice Address - Country:US
Practice Address - Phone:480-675-4568
Practice Address - Fax:480-907-1963
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-25
Last Update Date:2019-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health