Provider Demographics
NPI:1700138120
Name:SCHMELZER, MOLLIE ANN (LPC, LMHC, NCC)
Entity type:Individual
Prefix:MS
First Name:MOLLIE
Middle Name:ANN
Last Name:SCHMELZER
Suffix:
Gender:F
Credentials:LPC, LMHC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2028 E 38TH ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:DAVENPORT
Mailing Address - State:IA
Mailing Address - Zip Code:52807-1168
Mailing Address - Country:US
Mailing Address - Phone:563-424-2016
Mailing Address - Fax:563-424-2017
Practice Address - Street 1:2028 E 38TH ST
Practice Address - Street 2:SUITE 3
Practice Address - City:DAVENPORT
Practice Address - State:IA
Practice Address - Zip Code:52807-1168
Practice Address - Country:US
Practice Address - Phone:563-424-2016
Practice Address - Fax:563-424-2017
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-09
Last Update Date:2013-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA001538101YM0800X
IL178007708101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health