Basic Information
| Provider Information | |||||||||
| NPI: | 1508921040 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SCHOEB | ||||||||
| FirstName: | VICTORIA | ||||||||
| MiddleName: | ROSE | ||||||||
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| Credential: | LMFT, LAC | ||||||||
| OtherOrganizationName: | |||||||||
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| OtherLastName: | SCHOEB | ||||||||
| OtherFirstName: | VICKI | ||||||||
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| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 2619 W 6TH ST, SUITE C | ||||||||
| Address2: | |||||||||
| City: | LAWRENCE | ||||||||
| State: | KS | ||||||||
| PostalCode: | 66049 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9134222599 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 2619 W 6TH ST, SUITE C | ||||||||
| Address2: | FAMILY THERAPY INSTITUTE MIDWEST | ||||||||
| City: | LAWRENCE | ||||||||
| State: | KS | ||||||||
| PostalCode: | 66049 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7858308299 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/26/2006 | ||||||||
| LastUpdateDate: | 01/23/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 106H00000X | 472 | KS | Y | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
No ID Information.