Organization
KATHY SCHUTZ LCSW PC
Active
Other names
Compass Clinical Group
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY SCHUTZ LCSW (PRESIDENT)
(252) 714-1755
Entity
Organization
Contact information
Practice address
702 CROMWELL DR, SUITE G, GREENVILLE, NC 27858-5436
(252) 714-1755
Mailing address
3709 BARTON WAY, GRIMESLAND, NC 27837-9159
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1806
NC
1041C0700X
Clinical Social Worker
C005392
NC
106H00000X
Marriage & Family Therapist
1229
NC
251S00000X
Community/Behavioral Health Agency
Primary
C005392
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2852215A
MEDICARE PTAN
NC
05
—
6106507
—
NC
Enumeration date
10/05/2010
Last updated
04/29/2011
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