Provider Demographics
NPI:1972180396
Name:KAREN A SCHULZ MP PSYCHOLOGIST PC
Entity Type:Organization
Organization Name:KAREN A SCHULZ MP PSYCHOLOGIST PC
Other - Org Name:CLIENT CENTERED MANAGEMENT SERVICES-COMMUNITY WORK CHOICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:A
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD, PHD
Authorized Official - Phone:734-748-5796
Mailing Address - Street 1:46469 KILLARNEY CIR
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48188-3501
Mailing Address - Country:US
Mailing Address - Phone:734-748-5796
Mailing Address - Fax:
Practice Address - Street 1:705 S MAIN ST STE 101I
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MI
Practice Address - Zip Code:48170-1060
Practice Address - Country:US
Practice Address - Phone:734-748-5796
Practice Address - Fax:734-468-0109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-24
Last Update Date:2021-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI6401002271OtherLICENSED PROFESSIONAL COUNSELOR