| Autumn Schulz Llc | |
|
173 Gray Rd Falmouth ME 04105-2514 | |
| (207) 344-4299 | |
| Not Available |
| Full Name | Autumn Schulz Llc |
|---|---|
| Speciality | Counselor |
| Location | 173 Gray Rd, Falmouth, Maine |
| Authorized Official Name and Position | Autumn Schulz (SOLE PROPRIETOR) |
| Authorized Official Contact | 2073444299 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Autumn Schulz Llc Po Box 6126 Falmouth ME 04105-6126 Ph: (207) 344-4299 | Autumn Schulz Llc 173 Gray Rd Falmouth ME 04105-2514 Ph: (207) 344-4299 |
| NPI Number | 1164294476 |
|---|---|
| Provider Enumeration Date | 10/30/2023 |
| Last Update Date | 10/30/2023 |
| Certification Date | 10/30/2023 |
| Medicare PECOS PAC ID | 2062864150 |
|---|---|
| Medicare Enrollment ID | O20240112004027 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164294476 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Autumn D, Schulz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891076311 PECOS PAC ID: 5799136453 Enrollment ID: I20240112004105 |
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