Basic Information
Provider Information | |||||||||
NPI: | 1467117168 | ||||||||
EntityType: | 2 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: | SCHUESSLER COUNSELING, LLC | ||||||||
LastName: |   | ||||||||
FirstName: |   | ||||||||
MiddleName: |   | ||||||||
NamePrefix: |   | ||||||||
NameSuffix: |   | ||||||||
Credential: |   | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | 903 S MORRIS ST | ||||||||
Address2: |   | ||||||||
City: | OXFORD | ||||||||
State: | MD | ||||||||
PostalCode: | 216541308 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 8152365465 | ||||||||
FaxNumber: | 4109144058 | ||||||||
Practice Location | |||||||||
Address1: | 123 N WASHINGTON ST STE 102 | ||||||||
Address2: |   | ||||||||
City: | EASTON | ||||||||
State: | MD | ||||||||
PostalCode: | 216013341 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 8152365465 | ||||||||
FaxNumber: | 4109144058 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 11/08/2021 | ||||||||
LastUpdateDate: | 11/08/2021 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: |   | ||||||||
AuthorizedOfficialLastName: | OLSON-SCHUESSLER | ||||||||
AuthorizedOfficialFirstName: | DANUTA | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: | THERAPIST | ||||||||
AuthorizedOfficialTelephone: | 8152365465 | ||||||||
IsSoleProprietor: |   | ||||||||
IsOrganizationSubpart: | N | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: | MRS. | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: | 11/08/2021 |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YP2500X |   |   | Y | 193400000X SINGLE SPECIALTY GROUP | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.