MEDICARE: CYNTHIA SCHIEBEL MED, LPC-S, LCDC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	1914	TX
2	101YP2500X	Professional Counselor	9669	TX

General Provider Information

NPI Number	:	1053782268
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA SCHIEBEL MED, LPC-S, LCDC

Provider Business Mailing Address
First Line	:	2313 S 2ND ST
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78704-5055
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	608A W OLTORF ST
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78704-5320
Country	:	US
Telephone Number	:	512-445-0153
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/14/2015
Last Update Date	:	10/14/2015

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