Provider Demographics
NPI:1902597628
Name:SCHMIT, MICHAEL KIM (PHD, LPC)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:KIM
Last Name:SCHMIT
Suffix:
Gender:M
Credentials:PHD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 TUSCAN HILLS DR
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:MS
Mailing Address - Zip Code:38655-9269
Mailing Address - Country:US
Mailing Address - Phone:830-719-5509
Mailing Address - Fax:
Practice Address - Street 1:80 TUSCAN HILLS DR
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:MS
Practice Address - Zip Code:38655-9269
Practice Address - Country:US
Practice Address - Phone:830-719-5509
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-15
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX70104101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional