Provider Demographics
NPI:1689562472
Name:SCHUBACH COUNESLING, CONSULTING & TRAINING PLLC
Entity type:Organization
Organization Name:SCHUBACH COUNESLING, CONSULTING & TRAINING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MENTAL HEALTH THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:SCHUBACH
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:309-360-3108
Mailing Address - Street 1:1519 W MOSS AVE
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:IL
Mailing Address - Zip Code:61606-1639
Mailing Address - Country:US
Mailing Address - Phone:309-360-3108
Mailing Address - Fax:309-360-3108
Practice Address - Street 1:4507 N STERLING AVE
Practice Address - Street 2:SUITE 210
Practice Address - City:PEORIA
Practice Address - State:IL
Practice Address - Zip Code:61615-3861
Practice Address - Country:US
Practice Address - Phone:309-657-1246
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-27
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty