Healthcare Provider Details

I. General information

NPI: 1356430128
Provider Name (Legal Business Name): TONIE SCHMITT LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/12/2006
Last Update Date: 10/27/2023
Certification Date: 10/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

252 ROUTE 62
CONEWANGO VALLEY NY
14726-9601
US

IV. Provider business mailing address

252 ROUTE 62
CONEWANGO VALLEY NY
14726-9601
US

V. Phone/Fax

Practice location:
  • Phone: 716-640-3385
  • Fax:
Mailing address:
  • Phone: 716-640-5217
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number002068
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: