Healthcare Provider Details

I. General information

NPI: 1225712052
Provider Name (Legal Business Name): BRAE M VLAJ LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BRAE SCHMIDT MS, LPC, NCC

II. Dates (important events)

Enumeration Date: 06/12/2023
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9809 S FRANKLIN DR STE 302
FRANKLIN WI
53132-8885
US

IV. Provider business mailing address

9809 S FRANKLIN DR STE 302
FRANKLIN WI
53132-8885
US

V. Phone/Fax

Practice location:
  • Phone: 262-999-3495
  • Fax: 262-821-6180
Mailing address:
  • Phone: 262-999-3495
  • Fax: 262-821-6180

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number10305-125
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: