Organization Name: | SHARED-STEPS COUNSELING & CONSULTATION SERVICES PC |
NPI Number: | 1558635094 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JULIE A SCHAEFER-SPACE (OWNER) |
Mailing Address: | 402 Thornton St Middleville |
State: | MI US |
Postal Code: | 493339706 |
Phone Number: | 2697952243 |
Fax Number: | |
NPI Enumeration Date: | 03/01/2012 |
NPI Last Update Date: | 03/15/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TB0200X |
License Number: | 6301007868 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Cognitive & Behavioral |
Taxonomy Definition: |