Provider Demographics
NPI:1528305133
Name:SCHMIDT, ALISHA ANNE (MS)
Entity type:Individual
Prefix:
First Name:ALISHA
Middle Name:ANNE
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1571 E BATES PKWY
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-1764
Mailing Address - Country:US
Mailing Address - Phone:720-314-9425
Mailing Address - Fax:
Practice Address - Street 1:1571 E BATES PKWY
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-1764
Practice Address - Country:US
Practice Address - Phone:720-314-9425
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-16
Last Update Date:2013-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health