Provider Demographics
NPI:1992888572
Name:SCHAUFLER, LISA A (LMHC)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:A
Last Name:SCHAUFLER
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 1:221 N HIGHWAY 27 UNIT F
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34711-2431
Mailing Address - Country:US
Mailing Address - Phone:352-243-5901
Mailing Address - Fax:352-243-4187
Practice Address - Street 1:221 N HIGHWAY 27 UNIT F
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-2431
Practice Address - Country:US
Practice Address - Phone:352-243-5901
Practice Address - Fax:352-243-4187
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH6705101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLBCBSOtherZ090P