Healthcare Provider Details

I. General information

NPI: 1346541596
Provider Name (Legal Business Name): CHRISTINA N. SCHMIDT MA, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/04/2010
Last Update Date: 10/01/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

89 W SOUTH BLVD
TROY MI
48085-1611
US

IV. Provider business mailing address

89 W SOUTH BLVD
TROY MI
48085-1611
US

V. Phone/Fax

Practice location:
  • Phone: 800-693-1916
  • Fax: 248-605-3525
Mailing address:
  • Phone: 800-693-1916
  • Fax: 248-605-3525

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number6401010878
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6401010878
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: