Provider Demographics
NPI:1467331074
Name:HOLZSCHU, KORTNEE LYNNE (LMSW, LCSW)
Entity type:Individual
Prefix:MRS
First Name:KORTNEE
Middle Name:LYNNE
Last Name:HOLZSCHU
Suffix:
Gender:F
Credentials:LMSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5064 HARBOR HOUSE LN APT 102
Mailing Address - Street 2:
Mailing Address - City:GRANDVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:49418-7326
Mailing Address - Country:US
Mailing Address - Phone:727-710-3723
Mailing Address - Fax:
Practice Address - Street 1:5064 HARBOR HOUSE LN APT 102
Practice Address - Street 2:
Practice Address - City:GRANDVILLE
Practice Address - State:MI
Practice Address - Zip Code:49418-7326
Practice Address - Country:US
Practice Address - Phone:727-710-3723
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-28
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW186031041C0700X
MI68011124111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical