Provider Demographics
NPI:1174357347
Name:SCHULTZ, ALEXANDRIA LYNN
Entity type:Individual
Prefix:
First Name:ALEXANDRIA
Middle Name:LYNN
Last Name:SCHULTZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:503 MAIN ST APT 3
Mailing Address - Street 2:
Mailing Address - City:GREAT BARRINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01230-2152
Mailing Address - Country:US
Mailing Address - Phone:518-322-7524
Mailing Address - Fax:
Practice Address - Street 1:66 WEST ST STE 4E
Practice Address - Street 2:
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-5861
Practice Address - Country:US
Practice Address - Phone:413-343-4264
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-29
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health