Provider Demographics
NPI:1932521424
Name:SCHULZ, NARINA (NCC, LMHC)
Entity Type:Individual
Prefix:
First Name:NARINA
Middle Name:
Last Name:SCHULZ
Suffix:
Gender:F
Credentials:NCC, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1450 ROCHESTER ST STE A
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:NY
Mailing Address - Zip Code:14485-9463
Mailing Address - Country:US
Mailing Address - Phone:585-310-2588
Mailing Address - Fax:
Practice Address - Street 1:1450 ROCHESTER ST STE A
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:NY
Practice Address - Zip Code:14485-9463
Practice Address - Country:US
Practice Address - Phone:585-310-2588
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-17
Last Update Date:2018-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178008573101YP2500X
NY006380-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty