Healthcare Provider Details

I. General information

NPI: 1629568415
Provider Name (Legal Business Name): MADELINE B SCHAEFER LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/16/2018
Last Update Date: 11/13/2024
Certification Date: 11/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

345 N WEST END AVE
LANCASTER PA
17603-3217
US

IV. Provider business mailing address

345 N WEST END AVE
LANCASTER PA
17603-3217
US

V. Phone/Fax

Practice location:
  • Phone: 610-613-4541
  • Fax:
Mailing address:
  • Phone: 610-613-4541
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMF001670
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMSG012313
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: