1326408790 NPI number — TRICIA SCHMIDT LCMHCA

Table of content: TRICIA SCHMIDT LCMHCA (NPI 1326408790)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326408790 NPI number — TRICIA SCHMIDT LCMHCA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SCHMIDT
Provider First Name:
TRICIA
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LCMHCA
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1326408790
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/25/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9504 STONEY GLEN DR APT P
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MINT HILL
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28227-0463
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-731-7649
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
112 N CENTRAL AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LANDIS
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28088-1445
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
704-741-0456
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/29/2016

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101Y00000X , with the licence number: A15591 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)