Provider Demographics
NPI:1508999434
Name:SCHULEWITZ, MICHELLE GERIESE (LPC)
Entity Type:Individual
Prefix:MS
First Name:MICHELLE
Middle Name:GERIESE
Last Name:SCHULEWITZ
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3007 OKLAHOMA ST
Mailing Address - Street 2:
Mailing Address - City:MUSKOGEE
Mailing Address - State:OK
Mailing Address - Zip Code:74401-2749
Mailing Address - Country:US
Mailing Address - Phone:918-360-3859
Mailing Address - Fax:
Practice Address - Street 1:3007 OKLAHOMA ST
Practice Address - Street 2:
Practice Address - City:MUSKOGEE
Practice Address - State:OK
Practice Address - Zip Code:74401-2749
Practice Address - Country:US
Practice Address - Phone:918-360-3859
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2015-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2598101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional