Healthcare Provider Details

I. General information

NPI: 1235067356
Provider Name (Legal Business Name): DONALD J SCHMIDT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

219 W COLLEGE ST
TROY MO
63379-1101
US

IV. Provider business mailing address

502 BOYER ST
O FALLON MO
63366-2706
US

V. Phone/Fax

Practice location:
  • Phone: 636-544-0942
  • Fax:
Mailing address:
  • Phone: 636-544-0942
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: