Provider Demographics
NPI:1235591793
Name:SCHOEN, PAUL (LAC)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:
Last Name:SCHOEN
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 CRAPEMYRTLE RD
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-4708
Mailing Address - Country:US
Mailing Address - Phone:985-869-2426
Mailing Address - Fax:
Practice Address - Street 1:125 CRAPEMYRTLE RD
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-4708
Practice Address - Country:US
Practice Address - Phone:985-869-2426
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-24
Last Update Date:2016-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LALAC469101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)