Provider Demographics
NPI:1730919069
Name:SCHLEGEL, ZACKARY JAMES (LCMHCA, MS)
Entity type:Individual
Prefix:
First Name:ZACKARY
Middle Name:JAMES
Last Name:SCHLEGEL
Suffix:
Gender:M
Credentials:LCMHCA, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2025 ROCKBROOK LN
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:NC
Mailing Address - Zip Code:28012-0078
Mailing Address - Country:US
Mailing Address - Phone:704-519-6068
Mailing Address - Fax:
Practice Address - Street 1:233 S MAIN ST
Practice Address - Street 2:
Practice Address - City:DAVIDSON
Practice Address - State:NC
Practice Address - Zip Code:28036-8039
Practice Address - Country:US
Practice Address - Phone:704-892-8277
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-02
Last Update Date:2024-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA20331101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health