Provider Demographics
NPI:1447082748
Name:SCHUMAKE, INDIA (LPC)
Entity type:Individual
Prefix:
First Name:INDIA
Middle Name:
Last Name:SCHUMAKE
Suffix:
Gender:U
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46775 JUDD RD
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48111-8963
Mailing Address - Country:US
Mailing Address - Phone:734-294-9111
Mailing Address - Fax:
Practice Address - Street 1:847 SUMPTER RD
Practice Address - Street 2:
Practice Address - City:VAN BUREN TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48111-4905
Practice Address - Country:US
Practice Address - Phone:734-294-9111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-15
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health