Provider Demographics
NPI:1437229036
Name:ASSOCIATED THERAPY CONSULTANTS PC
Entity Type:Organization
Organization Name:ASSOCIATED THERAPY CONSULTANTS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:ZOE
Authorized Official - Middle Name:GENE
Authorized Official - Last Name:SCHUITMAKER
Authorized Official - Suffix:
Authorized Official - Credentials:MA LMSW LMFT
Authorized Official - Phone:269-657-2880
Mailing Address - Street 1:181 W MICHIGAN AVE
Mailing Address - Street 2:SUITE #2
Mailing Address - City:PAW PAW
Mailing Address - State:MI
Mailing Address - Zip Code:49079-1432
Mailing Address - Country:US
Mailing Address - Phone:269-657-2880
Mailing Address - Fax:269-657-2120
Practice Address - Street 1:181 W MICHIGAN AVE
Practice Address - Street 2:SUITE #2
Practice Address - City:PAW PAW
Practice Address - State:MI
Practice Address - Zip Code:49079-1432
Practice Address - Country:US
Practice Address - Phone:269-657-2880
Practice Address - Fax:269-657-2120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801009038104100000X
MI4101005210106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
122808OtherGREAT LAKES
8008966580OtherBCBS
AETNAOther5556747
P75843OtherBCW
11806OtherCOMM CHOICE