Provider Demographics
NPI:1871265314
Name:JULIE SCHOENLEIN LISW-S LLC
Entity Type:Organization
Organization Name:JULIE SCHOENLEIN LISW-S LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHOENLEIN
Authorized Official - Suffix:
Authorized Official - Credentials:LISW
Authorized Official - Phone:330-421-7814
Mailing Address - Street 1:20033 DETROIT RD STE G
Mailing Address - Street 2:
Mailing Address - City:ROCKY RIVER
Mailing Address - State:OH
Mailing Address - Zip Code:44116-2400
Mailing Address - Country:US
Mailing Address - Phone:330-421-7814
Mailing Address - Fax:
Practice Address - Street 1:20033 DETROIT RD STE G
Practice Address - Street 2:
Practice Address - City:ROCKY RIVER
Practice Address - State:OH
Practice Address - Zip Code:44116-2400
Practice Address - Country:US
Practice Address - Phone:330-421-7814
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-04
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty