Provider Demographics
NPI:1174069587
Name:SCHMIT, CAITLYN (MA LMFT)
Entity type:Individual
Prefix:MISS
First Name:CAITLYN
Middle Name:
Last Name:SCHMIT
Suffix:
Gender:F
Credentials:MA LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 291
Mailing Address - Street 2:
Mailing Address - City:CIRCLE PINES
Mailing Address - State:MN
Mailing Address - Zip Code:55014-0291
Mailing Address - Country:US
Mailing Address - Phone:651-447-8212
Mailing Address - Fax:
Practice Address - Street 1:4700 LEXINGTON AVE N STE B
Practice Address - Street 2:
Practice Address - City:SHOREVIEW
Practice Address - State:MN
Practice Address - Zip Code:55126-5964
Practice Address - Country:US
Practice Address - Phone:651-447-8212
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-09
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4106106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist