Provider Demographics
NPI:1891304010
Name:SCHRAG, AUSTIN (LMFT, LPC)
Entity type:Individual
Prefix:
First Name:AUSTIN
Middle Name:
Last Name:SCHRAG
Suffix:
Gender:M
Credentials:LMFT, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1211 E NORFOLK ST
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33604-5029
Mailing Address - Country:US
Mailing Address - Phone:214-893-4814
Mailing Address - Fax:
Practice Address - Street 1:1211 E NORFOLK ST
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33604-5029
Practice Address - Country:US
Practice Address - Phone:214-893-4814
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-23
Last Update Date:2020-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX203015101YP2500X
TX78121106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional