Doctor Name: | CAROLE PHYLLIS SCHWARTZ |
NPI Number: | 1548496037 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CAP |
License Number: | CAP 1906 |
Business Practice Address: | 119 N Market St Bushnell, FL - 335136107 |
Business Phone Number: | 3527934126 |
Business Fax Number: | 3523606582 |
Mailing Address: | 7981 Ravenwood Cv, SPRING HILL |
State: | FL |
Postal Code: | 346061956 |
Phone Number: | 3527934126 |
Fax Number: | 3523606582 |
NPI Enumeration Date: | 06/10/2009 |
NPI Last Update Date: | 06/10/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | CAP 1906 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |