Provider Demographics
NPI:1396835203
Name:SCHEEL, DAVID (MA, LPC, LMSW)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:SCHEEL
Suffix:
Gender:M
Credentials:MA, LPC, LMSW
Other - Prefix:MR
Other - First Name:DAVID
Other - Middle Name:F
Other - Last Name:SCHEEL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:28000 DEQUINDRE RD
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48092-2468
Mailing Address - Country:US
Mailing Address - Phone:586-753-0405
Mailing Address - Fax:586-753-0404
Practice Address - Street 1:1085 WARD ST
Practice Address - Street 2:
Practice Address - City:MARINE CITY
Practice Address - State:MI
Practice Address - Zip Code:48039-3581
Practice Address - Country:US
Practice Address - Phone:810-676-1909
Practice Address - Fax:810-676-1925
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401000007101Y00000X
MI6801021300104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselor
Not Answered104100000XBehavioral Health & Social Service ProvidersSocial Worker