Provider Demographics
NPI:1093536872
Name:SCHILL, EMILY KAY (LPC-IT)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:KAY
Last Name:SCHILL
Suffix:
Gender:F
Credentials:LPC-IT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:621 MCKAY WAY
Mailing Address - Street 2:
Mailing Address - City:WATERLOO
Mailing Address - State:WI
Mailing Address - Zip Code:53594-1481
Mailing Address - Country:US
Mailing Address - Phone:815-994-0252
Mailing Address - Fax:
Practice Address - Street 1:307 S PATERSON ST STE 120
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53703-3517
Practice Address - Country:US
Practice Address - Phone:608-501-1629
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-23
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI8160-226101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health