Healthcare Provider Details

I. General information

NPI: 1922696723
Provider Name (Legal Business Name): TANYA LYNN SCHATZLER M ED LPC M ED LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/06/2021
Last Update Date: 01/06/2021
Certification Date: 01/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 E LOCUST ST
UNION MO
63084-1832
US

IV. Provider business mailing address

PO BOX 68
UNION MO
63084-0068
US

V. Phone/Fax

Practice location:
  • Phone: 636-234-5462
  • Fax:
Mailing address:
  • Phone: 636-234-5462
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2015043575
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number2015043575
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: