Provider Demographics
NPI:1104681931
Name:SCHWARTZ, SUSAN (BHT, CCHT, CLC)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:BHT, CCHT, CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1927 E HAMPTON AVE UNIT 103
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85204-6059
Mailing Address - Country:US
Mailing Address - Phone:480-430-9195
Mailing Address - Fax:
Practice Address - Street 1:1927 E HAMPTON AVE UNIT 103
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85204-6059
Practice Address - Country:US
Practice Address - Phone:520-217-6066
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-20
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach