Provider Demographics
NPI:1679972145
Name:SCHELAT, RICHARD (PHD, PCC)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:
Last Name:SCHELAT
Suffix:
Gender:M
Credentials:PHD, PCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1073
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:OH
Mailing Address - Zip Code:45701-1073
Mailing Address - Country:US
Mailing Address - Phone:740-541-3223
Mailing Address - Fax:
Practice Address - Street 1:7239 BEECHWOOD DR
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:OH
Practice Address - Zip Code:45701-3544
Practice Address - Country:US
Practice Address - Phone:740-541-3223
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-20
Last Update Date:2014-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0004160101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional