Healthcare Provider Details

I. General information

NPI: 1700097169
Provider Name (Legal Business Name): ELIZABETH S SCHMANKE MS, ATR-BC, LCAC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LIBBY SCHMANKE

II. Dates (important events)

Enumeration Date: 05/25/2007
Last Update Date: 04/18/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4901 LEGENDS DR STE B
LAWRENCE KS
66049-5800
US

IV. Provider business mailing address

6621 MARION RD
OSKALOOSA KS
66066-5128
US

V. Phone/Fax

Practice location:
  • Phone: 785-840-5280
  • Fax:
Mailing address:
  • Phone: 785-840-5280
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberLCAC 123
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: