Provider Demographics
NPI:1548939598
Name:WAWRZASZEK SCHUMANN, LEANNE MARIE (LMHC)
Entity type:Individual
Prefix:
First Name:LEANNE
Middle Name:MARIE
Last Name:WAWRZASZEK SCHUMANN
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 1:1073 WILLA SPRINGS DR STE 2013
Mailing Address - Street 2:
Mailing Address - City:WINTER SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32708-6625
Mailing Address - Country:US
Mailing Address - Phone:386-320-6322
Mailing Address - Fax:
Practice Address - Street 1:1073 WILLA SPRINGS DR STE 2013
Practice Address - Street 2:
Practice Address - City:WINTER SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32708-6625
Practice Address - Country:US
Practice Address - Phone:386-320-6322
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-12
Last Update Date:2021-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH9235101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health