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NPI Code Detail

MEDICARE: AUTUMN SCHULZ LLC

MEDICARE: AUTUMN SCHULZ LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1164294476
Entity Type Code : Organization
Provider Name (Legal Business Name) : AUTUMN SCHULZ LLC
Provider Business Mailing Address
First Line : PO BOX 6126
Second Line :
City : FALMOUTH
State : ME
Zip : 04105-6126
Country : US
Telephone Number : 207-344-4299
Fax Number :
Provider Business Practice Location Address
First Line : 173 GRAY RD
Second Line :
City : FALMOUTH
State : ME
Zip : 04105-2514
Country : US
Telephone Number : 207-344-4299
Fax Number :
Authorized Official
Title or Position : SOLE PROPRIETOR
Name : AUTUMN SCHULZ
Credential : LCPC
Telephone Number : 207-344-4299
Provider Enumeration Date : 10/30/2023
Last Update Date : 10/30/2023

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Directions to “AUTUMN SCHULZ LLC ” Practice Location

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