Healthcare Provider Details

I. General information

NPI: 1912801374
Provider Name (Legal Business Name): TIA SCHMITZ LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3300 RIVERSIDE DR STE 100
UPPER ARLINGTON OH
43221-1766
US

IV. Provider business mailing address

3300 RIVERSIDE DR STE 100
UPPER ARLINGTON OH
43221-1766
US

V. Phone/Fax

Practice location:
  • Phone: 614-869-4816
  • Fax:
Mailing address:
  • Phone: 614-869-4816
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberS.2614824
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: