Healthcare Provider Details

I. General information

NPI: 1538994470
Provider Name (Legal Business Name): DEANNE SCHULZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2024
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

212 SOUTHERN MAGNOLIA LN
SANFORD FL
32771-6468
US

IV. Provider business mailing address

212 SOUTHERN MAGNOLIA LN
SANFORD FL
32771-6468
US

V. Phone/Fax

Practice location:
  • Phone: 407-908-7133
  • Fax:
Mailing address:
  • Phone: 407-908-7133
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: