Provider Demographics
NPI:1508372335
Name:VANSCHAICK, STEPHANIE (LMHC)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:VANSCHAICK
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4545 SW 60TH AVE # 770484
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-4301
Mailing Address - Country:US
Mailing Address - Phone:631-317-1654
Mailing Address - Fax:
Practice Address - Street 1:4545 SW 60TH AVE # 77048
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-4301
Practice Address - Country:US
Practice Address - Phone:631-317-1654
Practice Address - Fax:833-944-2535
Is Sole Proprietor?:No
Enumeration Date:2017-12-15
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH20753101YM0800X
NY008345101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health