Provider Demographics
NPI:1922843432
Name:SCHMIDT, BENJAMIN CARL (MS, NCC, LPC)
Entity type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:CARL
Last Name:SCHMIDT
Suffix:
Gender:M
Credentials:MS, NCC, LPC
Other - Prefix:
Other - First Name:BEN
Other - Middle Name:CARL
Other - Last Name:SCHMIDT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS, NCC, LPC
Mailing Address - Street 1:8213 MEADOW RD APT 4110
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-1129
Mailing Address - Country:US
Mailing Address - Phone:214-229-2653
Mailing Address - Fax:
Practice Address - Street 1:8213 MEADOW RD APT 4110
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-1129
Practice Address - Country:US
Practice Address - Phone:214-229-2653
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-26
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX89626101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty