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General NPI Number Information
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NPI Number | 1427912948
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Entity Type | Organization
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Legal Business Name | SHADE TREE COUNSELING, PLLC
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Dates
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Enumeration Date | 12/10/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 2911-A PINEDALE ROAD
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City | GREENSBORO
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State | NC
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Zip | 27408
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Country | US
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Telephone | 281-744-1275
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Fax |
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Provider Business Mailing Address
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Address Line | 1821 BULL RUN CT
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City | GREENSBORO
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State | NC
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Zip | 27407-6314
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Country | US
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Telephone | 281-744-1275
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Fax |
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Authorized Official
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Title or Position | OWNER/MEMBER
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Name | JONATHAN SCHMALZ
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Credential | PHD
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Telephone | 281-744-1275
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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