Healthcare Provider Details
I. General information
NPI: 1366847683
Provider Name (Legal Business Name): SARAH RHODES SCHMIDLKOFER L.P.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/29/2014
Last Update Date: 05/24/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
218 W ALABAMA ST
FLORENCE AL
35630-5516
US
IV. Provider business mailing address
2409 WILDWOOD
MUSCLE SHOALS AL
35661-6407
US
V. Phone/Fax
- Phone: 256-764-3007
- Fax:
- Phone: 256-383-7133
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | 3294 |
| License Number State | AL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: