Provider Demographics
NPI:1396298436
Name:SCHAAD, TERRA LINDA (LAC)
Entity type:Individual
Prefix:MS
First Name:TERRA
Middle Name:LINDA
Last Name:SCHAAD
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12051 N 96TH ST
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-5913
Mailing Address - Country:US
Mailing Address - Phone:480-510-6296
Mailing Address - Fax:480-626-4134
Practice Address - Street 1:12051 N 96TH ST
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-5913
Practice Address - Country:US
Practice Address - Phone:480-393-0870
Practice Address - Fax:480-626-4134
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-25
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLAC- 12676101YP2500X
AZLPC-21990101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional