Provider Demographics
NPI:1174891154
Name:SCHAFERMEYER, JULIA (LCPC, CST)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:SCHAFERMEYER
Suffix:
Gender:F
Credentials:LCPC, CST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8575 W. 110TH STREET
Mailing Address - Street 2:SUITE 302
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210
Mailing Address - Country:US
Mailing Address - Phone:785-550-4867
Mailing Address - Fax:913-789-0828
Practice Address - Street 1:8575 W. 110TH STREET
Practice Address - Street 2:SUITE 302
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210
Practice Address - Country:US
Practice Address - Phone:785-550-4867
Practice Address - Fax:913-789-0828
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-06
Last Update Date:2019-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLPC 2326101YP2500X
KSLCPC2430101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional