Provider Demographics
NPI:1588479505
Name:SCHMIDT, TRACY DIANNE
Entity type:Individual
Prefix:MS
First Name:TRACY
Middle Name:DIANNE
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7331 PIONEERS BLVD APT 233
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-7503
Mailing Address - Country:US
Mailing Address - Phone:214-763-3616
Mailing Address - Fax:
Practice Address - Street 1:7331 PIONEERS BLVD APT 233
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-7503
Practice Address - Country:US
Practice Address - Phone:214-763-3616
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-07
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health