Provider Demographics
NPI:1902155724
Name:SCHIERLAND, LAURA LEE (SACT)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:LEE
Last Name:SCHIERLAND
Suffix:
Gender:F
Credentials:SACT
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:LEE
Other - Last Name:HINCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:630 CHERRY ST
Mailing Address - Street 2:
Mailing Address - City:GREEN BAY
Mailing Address - State:WI
Mailing Address - Zip Code:54301-4931
Mailing Address - Country:US
Mailing Address - Phone:920-435-2093
Mailing Address - Fax:
Practice Address - Street 1:630 CHERRY ST
Practice Address - Street 2:
Practice Address - City:GREEN BAY
Practice Address - State:WI
Practice Address - Zip Code:54301-4931
Practice Address - Country:US
Practice Address - Phone:920-435-2093
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-07
Last Update Date:2012-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI16635-130101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)