Provider Demographics
NPI:1871765461
Name:SCHULTZ, KARI (LMHC)
Entity type:Individual
Prefix:
First Name:KARI
Middle Name:
Last Name:SCHULTZ
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5467 UPPER MOUNTAIN RD STE 200
Mailing Address - Street 2:
Mailing Address - City:LOCKPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14094-1854
Mailing Address - Country:US
Mailing Address - Phone:716-438-3071
Mailing Address - Fax:716-439-7418
Practice Address - Street 1:5467 UPPER MOUNTAIN RD STE 200
Practice Address - Street 2:
Practice Address - City:LOCKPORT
Practice Address - State:NY
Practice Address - Zip Code:14094-1854
Practice Address - Country:US
Practice Address - Phone:716-438-3071
Practice Address - Fax:716-439-7418
Is Sole Proprietor?:No
Enumeration Date:2008-03-24
Last Update Date:2018-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00675796Medicaid