Individual ProviderKathryn Elizabeth SchultzCounselorBehavioral Health & Social Service ProvidersPractice Address2621 Montega Dr, Springfield, IL 62704-4189(802) 466-2684PECOS EnrollmentBased on the most recent information from CMS, provider Kathryn Elizabeth Schultz does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1548739642Provider TypeIndividualFull NameSchultz, Kathryn ElizabethCredentialLCPCGenderFemaleSole ProprietorYesEnumeration Date11/19/2018Last Updated1/17/2024Contact InformationPractice LocationPractice Address2621 Montega Dr, Springfield, IL 62704-4189Phone(802) 466-2684FaxUnlisted FaxMailing LocationMailing Address2621 Montega Dr, Springfield, IL 62704-4189Phone(802) 466-2684FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense180.011918Illinois