Provider Demographics
NPI:1043562838
Name:SCHEMEL, MARYELLEN L (MHP)
Entity Type:Individual
Prefix:MRS
First Name:MARYELLEN
Middle Name:L
Last Name:SCHEMEL
Suffix:
Gender:F
Credentials:MHP
Other - Prefix:MS
Other - First Name:MARYELLEN
Other - Middle Name:
Other - Last Name:LOWE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MHP
Mailing Address - Street 1:2405 NORTHWESTERN AVE
Mailing Address - Street 2:SUITE LL5
Mailing Address - City:RACINE
Mailing Address - State:WI
Mailing Address - Zip Code:53404-2534
Mailing Address - Country:US
Mailing Address - Phone:262-260-8370
Mailing Address - Fax:
Practice Address - Street 1:2405 NORTHWESTERN AVE
Practice Address - Street 2:SUITE LL5
Practice Address - City:RACINE
Practice Address - State:WI
Practice Address - Zip Code:53404-2534
Practice Address - Country:US
Practice Address - Phone:262-260-8370
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-04
Last Update Date:2012-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health