Basic Information
Provider Information
NPI: 1245750645
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHEICH
FirstName: DAYNA
MiddleName: SHERI
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 284 EXECUTIVE PARK DR STE 100
Address2:  
City: CONCORD
State: NC
PostalCode: 280251833
CountryCode: US
TelephoneNumber: 7049391100
FaxNumber:  
Practice Location
Address1: 221 W MAIN ST
Address2:  
City: JEFFERSON
State: NC
PostalCode: 286409723
CountryCode: US
TelephoneNumber: 3362464542
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/27/2017
LastUpdateDate: 06/27/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1041C0700XP011700NCY Behavioral Health & Social Service ProvidersSocial WorkerClinical

No ID Information.


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