MEDICARE: ANNA ALEXIS SCHUBBE LPC, LMFT

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	101YP2500X	Professional Counselor	PC012111	PA

General Provider Information

NPI Number	:	1790272474
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA ALEXIS SCHUBBE LPC, LMFT

Provider Business Mailing Address
First Line	:	219 W SCOTT CT
Second Line	:
City	:	BRODHEADSVILLE
State	:	PA
Zip	:	18322-7135
Country	:	US
Telephone Number	:	570-730-7823
Fax Number	:

Provider Business Practice Location Address
First Line	:	219 W SCOTT CT
Second Line	:
City	:	BRODHEADSVILLE
State	:	PA
Zip	:	18322-7135
Country	:	US
Telephone Number	:	570-730-7823
Fax Number	:

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

Provider Enumeration Date	:	04/18/2018
Last Update Date	:	04/20/2026

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