Provider Demographics
NPI:1548949571
Name:SEGERS, SCHENETTA LOUISE (LPCA)
Entity type:Individual
Prefix:
First Name:SCHENETTA
Middle Name:LOUISE
Last Name:SEGERS
Suffix:
Gender:F
Credentials:LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1432 S SHELBY ST
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40217-1166
Mailing Address - Country:US
Mailing Address - Phone:502-635-4530
Mailing Address - Fax:502-636-0597
Practice Address - Street 1:1025 S 2ND ST
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40203-2823
Practice Address - Country:US
Practice Address - Phone:502-635-4530
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-17
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY163577101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health