Healthcare Provider Details

I. General information

NPI: 1780880757
Provider Name (Legal Business Name): WILLIAM JOSEPH SCHMIDT LMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/26/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 E. FESLER STREET
SANTA MARIA CA
93454
US

IV. Provider business mailing address

P.O.BOX1298
ARROYO GRANDE CA
93421
US

V. Phone/Fax

Practice location:
  • Phone: 805-922-6597
  • Fax:
Mailing address:
  • Phone: 805-459-4849
  • Fax: 805-474-8916

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number37342
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: