Basic Information
| Provider Information | |||||||||
| NPI: | 1396835203 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SCHEEL | ||||||||
| FirstName: | DAVID | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | |||||||||
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| Credential: | MA, LPC, LMSW | ||||||||
| OtherOrganizationName: | |||||||||
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| OtherLastName: | SCHEEL | ||||||||
| OtherFirstName: | DAVID | ||||||||
| OtherMiddleName: | F | ||||||||
| OtherNamePrefix: | MR. | ||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | |||||||||
| OtherLastNameType: | 2 | ||||||||
| Mailing Information | |||||||||
| Address1: | 28000 DEQUINDRE RD | ||||||||
| Address2: | |||||||||
| City: | WARREN | ||||||||
| State: | MI | ||||||||
| PostalCode: | 480922468 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5867530405 | ||||||||
| FaxNumber: | 5867530404 | ||||||||
| Practice Location | |||||||||
| Address1: | 1085 WARD ST | ||||||||
| Address2: | |||||||||
| City: | MARINE CITY | ||||||||
| State: | MI | ||||||||
| PostalCode: | 480393581 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8106761909 | ||||||||
| FaxNumber: | 8106761925 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/13/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101Y00000X | 6401000007 | MI | X | Behavioral Health & Social Service Providers | Counselor | 104100000X | 6801021300 | MI | X | Behavioral Health & Social Service Providers | Social Worker |
No ID Information.