Healthcare Provider Details

I. General information

NPI: 1326408790
Provider Name (Legal Business Name): TRICIA SCHMIDT LCMHCA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/29/2016
Last Update Date: 02/25/2020
Certification Date: 02/25/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

112 N CENTRAL AVE
LANDIS NC
28088-1445
US

IV. Provider business mailing address

9504 STONEY GLEN DR APT P
MINT HILL NC
28227-0463
US

V. Phone/Fax

Practice location:
  • Phone: 704-741-0456
  • Fax:
Mailing address:
  • Phone: 303-731-7649
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberA15591
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: