Provider Demographics
NPI:1144490079
Name:KATHY P. SCHULTZ
Entity type:Organization
Organization Name:KATHY P. SCHULTZ
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:PIANKO
Authorized Official - Last Name:SCHULTZ
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW/ACSW
Authorized Official - Phone:248-798-9808
Mailing Address - Street 1:31330 NORTHWESTERN HWY
Mailing Address - Street 2:SUITE D
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-2560
Mailing Address - Country:US
Mailing Address - Phone:248-798-9808
Mailing Address - Fax:248-258-0855
Practice Address - Street 1:31330 NORTHWESTERN HWY
Practice Address - Street 2:SUITE D
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-2560
Practice Address - Country:US
Practice Address - Phone:248-798-9808
Practice Address - Fax:248-258-0855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-06
Last Update Date:2008-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801015709101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty