| Doctor Name: | NEIL SCHOENEBECK |
| NPI Number: | 1093828527 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 6802059217 |
| Business Practice Address: | 3847 Pine Grove Ave Suite B Fort Gratiot, MI - 480594265 |
| Business Phone Number: | 8109842250 |
| Business Fax Number: | |
| Mailing Address: | 6350 Vincent Rd, GRANT TOWNSHIP |
| State: | MI |
| Postal Code: | 480323907 |
| Phone Number: | 8103853873 |
| Fax Number: | |
| NPI Enumeration Date: | 08/17/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 6802059217 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |