Provider Demographics
NPI:1699321083
Name:SCHMAHL, MARK
Entity type:Individual
Prefix:
First Name:MARK
Middle Name:
Last Name:SCHMAHL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1810 OXFORD DR
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-6038
Mailing Address - Country:US
Mailing Address - Phone:615-428-4808
Mailing Address - Fax:
Practice Address - Street 1:1819 WARD DR STE 102
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-0567
Practice Address - Country:US
Practice Address - Phone:615-428-4808
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-13
Last Update Date:2019-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist