Provider Demographics
NPI:1396226445
Name:SCHOEN, SUZANAH RICHELLE (T-LMFT)
Entity Type:Individual
Prefix:
First Name:SUZANAH
Middle Name:RICHELLE
Last Name:SCHOEN
Suffix:
Gender:F
Credentials:T-LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2821 SOUTH BROOKSIDE DRIVE
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:KS
Mailing Address - Zip Code:67010-2433
Mailing Address - Country:US
Mailing Address - Phone:316-425-0073
Mailing Address - Fax:
Practice Address - Street 1:2821 SOUTH BROOKSIDE DRIVE
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:KS
Practice Address - Zip Code:67010-2433
Practice Address - Country:US
Practice Address - Phone:316-425-0073
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-27
Last Update Date:2018-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2990101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health