Provider Demographics
NPI:1114309101
Name:SCHULTZ, ZULLY (LMFT-A)
Entity Type:Individual
Prefix:MRS
First Name:ZULLY
Middle Name:
Last Name:SCHULTZ
Suffix:
Gender:F
Credentials:LMFT-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1509B S. UNIVERSITY DR.
Mailing Address - Street 2:SUITE 212
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76107
Mailing Address - Country:US
Mailing Address - Phone:817-885-7777
Mailing Address - Fax:
Practice Address - Street 1:1509B S. UNIVERSITY DR.
Practice Address - Street 2:SUITE 212
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76107
Practice Address - Country:US
Practice Address - Phone:817-885-7777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-25
Last Update Date:2015-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX202465106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist