Healthcare Provider Details

I. General information

NPI: 1912473059
Provider Name (Legal Business Name): JULIE ELISABETH SCHMIT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/16/2018
Last Update Date: 02/04/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

653 GRAND AVE
SAINT PAUL MN
55105-3401
US

IV. Provider business mailing address

3927 E 26TH ST
MINNEAPOLIS MN
55406-1858
US

V. Phone/Fax

Practice location:
  • Phone: 651-212-4920
  • Fax:
Mailing address:
  • Phone: 612-202-6299
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: