Provider Demographics
NPI:1689158214
Name:SCHAECHER, LADORA MARIE KELLEY (LMHP)
Entity Type:Individual
Prefix:
First Name:LADORA
Middle Name:MARIE KELLEY
Last Name:SCHAECHER
Suffix:
Gender:F
Credentials:LMHP
Other - Prefix:
Other - First Name:LADORA
Other - Middle Name:MARIE KELLEY
Other - Last Name:DOHMEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1106 W BENJAMIN AVE STE 800
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:NE
Mailing Address - Zip Code:68701-2748
Mailing Address - Country:US
Mailing Address - Phone:402-920-1921
Mailing Address - Fax:402-371-8055
Practice Address - Street 1:1106 W. BENJAMIN AVE.
Practice Address - Street 2:SUITE 800
Practice Address - City:NORFOLK
Practice Address - State:NE
Practice Address - Zip Code:68701-2970
Practice Address - Country:US
Practice Address - Phone:402-920-1921
Practice Address - Fax:402-371-8055
Is Sole Proprietor?:No
Enumeration Date:2018-09-19
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE6052101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025001500Medicaid