Healthcare Provider Details

I. General information

NPI: 1720610850
Provider Name (Legal Business Name): NICOLE R. URHAHN-SCHMITT LLPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/06/2020
Last Update Date: 02/06/2020
Certification Date: 02/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27780 NOVI RD STE 244
NOVI MI
48377-3427
US

IV. Provider business mailing address

719 NISSEN CT
WIXOM MI
48393-1751
US

V. Phone/Fax

Practice location:
  • Phone: 248-916-2855
  • Fax:
Mailing address:
  • Phone: 248-986-0769
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: