MEDICARE: MRS. ATTICA YVETTE SCHMIDT CMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	6321618-6004	UT

General Provider Information

NPI Number	:	1174022479
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ATTICA YVETTE SCHMIDT CMHC

Provider Business Mailing Address
First Line	:	4168 S SUNRISE DR
Second Line	:
City	:	SARATOGA SPRINGS
State	:	UT
Zip	:	84045-3256
Country	:	US
Telephone Number	:	801-419-5525
Fax Number	:

Provider Business Practice Location Address
First Line	:	4168 S SUNRISE DR
Second Line	:
City	:	SARATOGA SPRINGS
State	:	UT
Zip	:	84045-3256
Country	:	US
Telephone Number	:	801-419-5525
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/02/2018
Last Update Date	:	03/26/2019

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