Provider Demographics
NPI:1568900397
Name:SCHULTZ FAMILY COUNSELING, LLC.
Entity Type:Organization
Organization Name:SCHULTZ FAMILY COUNSELING, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPC-IT/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:SPADE
Authorized Official - Last Name:SCHULTZ
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:906-864-9830
Mailing Address - Street 1:908 2ND ST
Mailing Address - Street 2:
Mailing Address - City:MENOMINEE
Mailing Address - State:MI
Mailing Address - Zip Code:49858-3245
Mailing Address - Country:US
Mailing Address - Phone:906-864-9830
Mailing Address - Fax:
Practice Address - Street 1:1651 LUDINGTON ST
Practice Address - Street 2:
Practice Address - City:MARINETTE
Practice Address - State:WI
Practice Address - Zip Code:54143-1812
Practice Address - Country:US
Practice Address - Phone:906-271-0406
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-31
Last Update Date:2017-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3164251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health