Provider Demographics
NPI:1124688171
Name:JOSSIE SCHAUERHAMER THERAPY SERVICES PLLC
Entity type:Organization
Organization Name:JOSSIE SCHAUERHAMER THERAPY SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSSIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHAUERHAMER
Authorized Official - Suffix:
Authorized Official - Credentials:LADC, MFT-I
Authorized Official - Phone:702-281-2509
Mailing Address - Street 1:2470 SAINT ROSE PKWY STE 302
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-7776
Mailing Address - Country:US
Mailing Address - Phone:702-283-0070
Mailing Address - Fax:435-263-0905
Practice Address - Street 1:2470 SAINT ROSE PKWY STE 302
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-7776
Practice Address - Country:US
Practice Address - Phone:702-283-0070
Practice Address - Fax:435-263-0905
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-20
Last Update Date:2019-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty