Provider Demographics
NPI:1518775980
Name:SCHOENBERG, MEGHAN JEAN (MS, LLC)
Entity type:Individual
Prefix:
First Name:MEGHAN
Middle Name:JEAN
Last Name:SCHOENBERG
Suffix:
Gender:F
Credentials:MS, LLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 LILAC LN
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:MI
Mailing Address - Zip Code:48854-8326
Mailing Address - Country:US
Mailing Address - Phone:810-923-4715
Mailing Address - Fax:
Practice Address - Street 1:4025 HOLT RD UNIT 205
Practice Address - Street 2:
Practice Address - City:HOLT
Practice Address - State:MI
Practice Address - Zip Code:48842-6005
Practice Address - Country:US
Practice Address - Phone:517-881-7231
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-18
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6451023951101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor