Provider Demographics
NPI:1043571995
Name:SCHULTZ, SARA MARGOT (MTS, MA, NCC)
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:MARGOT
Last Name:SCHULTZ
Suffix:
Gender:F
Credentials:MTS, MA, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9246 MOSBY ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20110-5038
Mailing Address - Country:US
Mailing Address - Phone:703-330-4995
Mailing Address - Fax:
Practice Address - Street 1:700 W BRADDOCK RD
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22302-3601
Practice Address - Country:US
Practice Address - Phone:301-292-2778
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-06
Last Update Date:2012-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health