MEDICARE: MS. MARIE SCHILLER 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	106H00000X	Marriage & Family Therapist	0717001054	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1962485003
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARIE SCHILLER LMFT

Provider Business Mailing Address
First Line	:	309 LYNNHAVEN PKWY STE 100
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23452-7411
Country	:	US
Telephone Number	:	757-635-5008
Fax Number	:	757-277-0291

Provider Business Practice Location Address
First Line	:	309 LYNNHAVEN PKWY STE 100
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23452-7411
Country	:	US
Telephone Number	:	757-635-5008
Fax Number	:	757-277-0291

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

Provider Enumeration Date	:	11/22/2005
Last Update Date	:	02/03/2021

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