Provider Demographics
NPI:1306054499
Name:SCHLEH, PETER DAVID (LMHC)
Entity type:Individual
Prefix:MR
First Name:PETER
Middle Name:DAVID
Last Name:SCHLEH
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12281 EAGLE POINTE CIR
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33913-7982
Mailing Address - Country:US
Mailing Address - Phone:239-768-5319
Mailing Address - Fax:239-649-0733
Practice Address - Street 1:12281 EAGLE POINTE CIR
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33913-7982
Practice Address - Country:US
Practice Address - Phone:239-768-5319
Practice Address - Fax:239-649-6026
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-20
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH5873101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health