Provider Demographics
NPI:1306668827
Name:RICHARD SCHUMANN, STACIE JEANNE (MA, LPC)
Entity type:Individual
Prefix:
First Name:STACIE
Middle Name:JEANNE
Last Name:RICHARD SCHUMANN
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1306 ORCHARD LN
Mailing Address - Street 2:
Mailing Address - City:PETOSKEY
Mailing Address - State:MI
Mailing Address - Zip Code:49770-8840
Mailing Address - Country:US
Mailing Address - Phone:989-598-2462
Mailing Address - Fax:
Practice Address - Street 1:1306 ORCHARD LN
Practice Address - Street 2:
Practice Address - City:PETOSKEY
Practice Address - State:MI
Practice Address - Zip Code:49770-8840
Practice Address - Country:US
Practice Address - Phone:989-598-2462
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-26
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401224621101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health