Provider Demographics
NPI:1689420473
Name:SCHMITZ, CARYN HEINTZELMAN (LPC)
Entity type:Individual
Prefix:
First Name:CARYN
Middle Name:HEINTZELMAN
Last Name:SCHMITZ
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1764 OAK HILL RD
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38138-2555
Mailing Address - Country:US
Mailing Address - Phone:901-351-6506
Mailing Address - Fax:
Practice Address - Street 1:1764 OAK HILL RD
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:TN
Practice Address - Zip Code:38138-2555
Practice Address - Country:US
Practice Address - Phone:901-351-6506
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-24
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1747101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health