Provider Demographics
NPI:1609550359
Name:SCHULTZ BEHAVIORAL CONSULTANTS LLC
Entity Type:Organization
Organization Name:SCHULTZ BEHAVIORAL CONSULTANTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHULTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-322-8175
Mailing Address - Street 1:2273 MORNINGVIEW LN
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80109-3660
Mailing Address - Country:US
Mailing Address - Phone:920-904-4071
Mailing Address - Fax:
Practice Address - Street 1:405 S WILCOX ST STE 104
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80104-1957
Practice Address - Country:US
Practice Address - Phone:719-322-8175
Practice Address - Fax:719-284-3771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-13
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty