Healthcare Provider Details

I. General information

NPI: 1154927929
Provider Name (Legal Business Name): JULIET SCHMITT LICENSED MARRIAGE AND FAMILY THERAPIST, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2020
Last Update Date: 12/08/2020
Certification Date: 11/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3150 EL CAMINO REAL STE C
CARLSBAD CA
92008-2110
US

IV. Provider business mailing address

3150 EL CAMINO REAL STE C
CARLSBAD CA
92008-2110
US

V. Phone/Fax

Practice location:
  • Phone: 442-325-4114
  • Fax: 760-729-6004
Mailing address:
  • Phone: 442-325-4114
  • Fax: 760-729-6004

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JULIET ANNE SCHMITT
Title or Position: OWNER
Credential: LMFT
Phone: 442-325-4114