Provider Demographics
NPI:1417701640
Name:SCHOONE, ASLI (LCHMC)
Entity Type:Individual
Prefix:
First Name:ASLI
Middle Name:
Last Name:SCHOONE
Suffix:
Gender:F
Credentials:LCHMC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:704 SUSSEX CT
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-5433
Mailing Address - Country:US
Mailing Address - Phone:336-447-0217
Mailing Address - Fax:
Practice Address - Street 1:1175 REVOLUTION MILL DR # 29-3
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27405-5079
Practice Address - Country:US
Practice Address - Phone:336-447-0217
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-15
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA19869101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health